Individual
MARIYA GURVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
8721 4TH AVE, BROOKLYN, NY 11209-5109
(718) 680-1500
Mailing address
8721 4TH AVE, BROOKLYN, NY 11209-5109
(718) 680-1500
(718) 680-5550
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ORT008180
NY
152W00000X
Optometrist
Primary
TUV008180
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04297045
—
NY
Enumeration date
06/23/2014
Last updated
03/15/2026
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