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Organization

D & M OPTICAL INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MAKSIM GRINBERG (MANAGER OWNER)
(718) 873-3161
Entity
Organization

Contact information

Practice address
332 9TH ST, BROOKLYN, NY 11215-4058
(718) 965-2545
(718) 965-1127
Mailing address
332 9TH ST, BROOKLYN, NY 11215-4058
(718) 965-2545
(718) 965-1127

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
007422
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02705273
NY
Enumeration date
05/14/2008
Last updated
12/11/2009
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