Organization
NYC OPTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LANA BELOUSOVA (OWNER)
(347) 377-7305
Entity
Organization
Contact information
Practice address
2135 CONEY ISLAND AVE, BROOKLYN, NY 11223-3331
(347) 377-7305
Mailing address
1815 EAST 17 STREET # 4H, BROOKLYN, NY 11229-0000
Taxonomy
Speciality
Code
Description
License number
State
156FX1100X
Ophthalmic Technician/Technologist
Primary
—
—
Other
Enumeration date
08/28/2015
Last updated
08/28/2015
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