Individual
ELEANORA MULLOKANDOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
97-21 QUEENS BLVD, REGO PARK, NY 11374
(347) 840-3244
Mailing address
97-21 QUEENS BLVD., REGO PARK, NY 11374
(347) 840-3244
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
009171-1
NY
Other
Enumeration date
01/24/2013
Last updated
01/24/2013
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