Organization
MILLENIA VISION CORP
Active
Other names
Millenia Vision
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN YAKUBOV (OWNER)
(646) 767-1951
Entity
Organization
Contact information
Practice address
469 W 125TH ST, NEW YORK, NY 10027-4201
(646) 767-1951
Mailing address
469 W 125TH ST, NEW YORK, NY 10027-4201
(646) 767-1951
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV008217
NY
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
05/16/2017
Last updated
07/21/2022
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