Individual
MR. ALLAN GUGILEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2617 EAST 17TH STREET APT #7-A, BROOKLYN, NY 11235
(917) 667-6611
Mailing address
2617 EAST 17TH STREET APT #7-A, BROOKLYN, NY 11235
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
008120
NY
Other
Enumeration date
08/26/2010
Last updated
08/26/2010
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