Individual
ROMAN KULBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
2232 E 19TH ST, BROOKLYN, NY 11229-4509
(917) 543-2734
Mailing address
2232 E 19TH ST, BROOKLYN, NY 11229-4509
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
006607
NY
Other
Enumeration date
10/26/2008
Last updated
08/09/2013
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