Individual
ROMAN MOSTOVOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
711 AVENUE U, BROOKLYN, NY 11223-4133
(347) 587-6565
Mailing address
711 AVENUE U, BROOKLYN, NY 11223-4133
(347) 587-6565
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
C009086
NY
Other
Enumeration date
12/09/2010
Last updated
12/09/2010
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