Organization
MIDWOOD FAMILY VISION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAN RUBINSKY OPTICIAN (PRESIDENT)
(718) 375-4300
Entity
Organization
Contact information
Practice address
1714 AVENUE M, BROOKLYN, NY 11230-5304
(718) 375-4300
Mailing address
1714 AVENUE M, BROOKLYN, NY 11230-5304
(718) 375-4300
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
C006707-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02040646
—
NY
01
—
1000350000
UFT
NY
01
—
14592
SPECTERA
NY
Enumeration date
09/23/2006
Last updated
12/15/2009
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