Individual
MARINA SIONOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
253 W 72ND ST, NEW YORK, NY 10023-2705
(212) 769-1174
(212) 769-1463
Mailing address
253 W 72ND ST, NEW YORK, NY 10023-2705
(212) 769-1174
(212) 769-1463
Taxonomy
Speciality
Code
Description
License number
State
156FX1202X
Optometric Technician
Primary
00736-1
NY
Other
Enumeration date
10/03/2018
Last updated
10/03/2018
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