Individual
MR. VLADISLAV KAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
83 5TH AVE, SUITE A, BROOKLYN, NY 11217-4654
(718) 636-4526
(718) 636-4505
Mailing address
5017 SURF AVE, BROOKLYN, NY 11224-1129
(718) 496-5906
(718) 636-4505
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
008614
NY
Other
Enumeration date
09/16/2009
Last updated
12/05/2011
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