Individual
MR. KONSTANTIN URMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
2521 PARSONS BLVD, FLUSHING, NY 11354-1247
(718) 353-7352
(718) 353-7563
Mailing address
2056 E 56TH ST, BROOKLYN, NY 11234-4721
(718) 353-7352
(718) 353-7563
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
7603
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02220735
—
NY
Enumeration date
05/26/2006
Last updated
12/15/2008
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