Individual
ORLY MASLAVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
28 SHORE DR, KINGS POINT, NY 11024-1218
(516) 298-6667
Mailing address
28 SHORE DR, KINGS POINT, NY 11024-1218
(516) 298-6667
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
005745
NY
Other
Enumeration date
04/04/2012
Last updated
04/04/2012
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