Individual
ROSTISLAV RYVKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
105 KINGS HWY, APT 3A, BROOKLYN, NY 11214-1550
(718) 332-1017
(718) 332-1354
Mailing address
105 KINGS HWY, APT 3A, BROOKLYN, NY 11214-1525
(718) 513-4052
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV006615
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02351086
—
NY
Enumeration date
11/16/2005
Last updated
12/03/2016
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