Individual
LAURENT MADTEOSSIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
115 S 2ND ST, BROOKLYN, NY 11249-5206
(857) 869-6224
Mailing address
115 S 2ND ST APT 17, BROOKLYN, NY 11249-5206
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
008222
NY
Other
Enumeration date
11/15/2014
Last updated
11/15/2014
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