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Individual

MS. YULIYA SHIMUNOV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OPHTHALMIC DISPENSER

Contact information

Practice address
6240 FOREST AVE, RIDGEWOOD, NY 11385-1929
(718) 418-0100
(718) 418-0005
Mailing address
6240 FOREST AVE, RIDGEWOOD, NY 11385-1929
(718) 418-0100
(718) 418-0005

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
007920-1
NY

Other

Enumeration date
08/21/2019
Last updated
08/21/2019
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