Organization
BRISTOL OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK YADGAROV MARK YADGAROV (EMPLOYEE)
(718) 649-6526
Entity
Organization
Contact information
Practice address
949 PENNSYLVANIA AVE, BROOKLYN, NY 11207-8499
(718) 649-6526
Mailing address
949 PENNSYLVANIA AVE, BROOKLYN, NY 11207-8499
(718) 649-6526
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
03/11/2020
Last updated
03/11/2020
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