Individual
ALEKSANDR MISYUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
88 FULTON ST, MY OPTICIAN NYC, NEW YORK, NY 10038-2807
(212) 693-1111
Mailing address
2955 SHELL RD, #9-0, BROOKLYN, NY 11224-3634
(917) 750-0880
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
007265
NY
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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