Individual
DR. STACY M KOSIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
KLM OPTICAL. INC. DBA PEARLE VISION, 1085 D NORTHERN BLVD, ROSLYN, NY 11576
(516) 365-4066
(516) 365-9312
Mailing address
1085D NORTHERN BLVD, ROSLYN, NY 11576
(576) 365-4066
(516) 365-9312
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV005889-1
NY
Other
Enumeration date
10/22/2005
Last updated
08/02/2018
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