Individual
DR. KRISTINA HAIDATOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
21519 73RD AVE, OAKLAND GARDENS, NY 11364-2928
(718) 819-8477
(718) 819-8534
Mailing address
21519 73RD AVE, OAKLAND GARDENS, NY 11364-2928
(718) 819-8477
(718) 819-8534
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
008824
NY
Other
Enumeration date
06/28/2018
Last updated
04/18/2023
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