Individual
MR. VADIM KRUZHKOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
764 MANHATTAN AVE, BROOKLYN, NY 11222-2967
(718) 349-8313
Mailing address
764 MANHATTAN AVE, BROOKLYN, NY 11222-2967
(718) 349-8313
Taxonomy
Speciality
Code
Description
License number
State
156FX1100X
Ophthalmic Technician/Technologist
Primary
007005
NY
Other
Enumeration date
01/13/2009
Last updated
01/13/2009
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