Individual
MR. STEVEN INDELICATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6819 18TH AVE, BROOKLYN, NY 11204-4416
(718) 236-6090
Mailing address
6819 18TH AVE, BROOKLYN, NY 11204-4416
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
C009520-1
NY
Other
Enumeration date
03/07/2014
Last updated
03/07/2014
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