Individual
TANYA KONTOROVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
739 OCEAN PKWY, BROOKLYN, NY 11230-1113
(718) 434-0881
(718) 859-6372
Mailing address
739 OCEAN PKWY, BROOKLYN, NY 11230-1113
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
005351
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01880602
—
NY
Enumeration date
09/20/2006
Last updated
06/04/2008
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