Individual
RANDI B JABUREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OPHTHALMIC DISPENSER
Contact information
Practice address
361 MAIN ST., HUNTINGTON, NY 11743
(631) 421-4211
(631) 421-4321
Mailing address
361 MAIN ST., HUNTINGTON, NY 11743
(631) 421-4211
(631) 421-4321
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
004656
NY
Other
Enumeration date
03/04/2008
Last updated
03/04/2008
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