Organization
ANTAR, LLC
Active
Other names
Marine Optical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABRAHAM AVNILOV OD (OPTOMETRIST)
(347) 925-5077
Entity
Organization
Contact information
Practice address
9714 FOURTH AVE, STORE FRONT, BROOKLYN, NY 11209
(718) 374-4939
Mailing address
9714 FOURTH AVE, STORE FRONT, BROOKLYN, NY 11209
(718) 374-4939
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
07/06/2020
Last updated
07/06/2020
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