Individual
MR. DAVID MULADZHANOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
29A MIDDLE NECK RD, GREAT NECK, NY 11021-2319
(718) 440-5682
Mailing address
29A MIDDLE NECK RD, GREAT NECK, NY 11021-2319
(718) 440-5682
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
01060301
NY
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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