Individual
DINA MAYZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
254 BRIGHTON BEACH AVE, BROOKLYN, NY 11235-7427
(718) 769-9800
Mailing address
254 BRIGHTON BEACH AVE, BROOKLYN, NY 11235-7427
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV008845-1
NY
Other
Enumeration date
08/03/2018
Last updated
08/03/2018
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