Organization
1354 NYC OPTICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP MURATOV (OWNER)
(917) 847-3457
Entity
Organization
Contact information
Practice address
1354 PA AVE, BROOKLYN, NY 11239-2111
(718) 642-3526
Mailing address
1354 PA AVE, BROOKLYN, NY 11239-2111
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
08/04/2022
Last updated
08/04/2022
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