Individual
MRS. STELLA PYATETSKAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OPHTHALMIC DISPENSER
Contact information
Practice address
302 BRIGHTON BEACH AVE, BROOKLYN, NY 11235-7413
(718) 648-3200
Mailing address
302 BRIGHTON BEACH AVE, BROOKLYN, NY 11235-7413
(718) 648-3200
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
007434
NY
Other
Enumeration date
02/19/2014
Last updated
02/19/2014
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