Individual
MR. LENNY TEMIRYAYEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1916 86TH ST, BROOKLYN, NY 11214-3108
(718) 621-1624
Mailing address
1916 86TH ST, BROOKLYN, NY 11214-3108
(718) 621-1624
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
008486-1
NY
Other
Enumeration date
12/01/2006
Last updated
07/20/2009
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