Individual
MRS. SHIFRA ASTOLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
803 NOSTRAND AVE, BROOKLYN, NY 11225-1584
(718) 484-3760
(718) 484-3761
Mailing address
803 NOSTRAND AVE, BROOKLYN, NY 11225-1584
(718) 484-3760
(718) 484-3761
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
009504
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009504
OPTICIAN LICENSE
NY
Enumeration date
09/17/2015
Last updated
09/17/2015
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