Individual
LUZJANETH ARCILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3418 BROADWAY, ASTORIA, NY 11106-1276
(718) 204-5037
(718) 204-1753
Mailing address
3418 BROADWAY, ASTORIA, NY 11106-1276
(718) 204-5037
(718) 204-1753
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
006748
NY
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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