Organization
KJ OPTOMETRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKHAIL ODESSKIY (MANAGER)
(718) 975-4824
Entity
Organization
Contact information
Practice address
1803 VICTORY BLVD, STATEN ISLAND, NY 10314-3515
(718) 975-4824
Mailing address
2313 65TH ST, BROOKLYN, NY 11204-4045
(718) 975-4824
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
01/06/2021
Last updated
01/06/2021
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