Individual
MARK BARAYEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2201 59TH ST, BROOKLYN, NY 11204-2505
(718) 256-4943
Mailing address
2201 59TH ST, BROOKLYN, NY 11204-2505
(718) 256-4943
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
008269
NY
Other
Enumeration date
06/04/2009
Last updated
12/15/2009
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