Individual
JACOB FUCHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4820 14TH AVE, BROOKLYN, NY 11219-3118
(718) 435-3839
Mailing address
4820 14TH AVE, BROOKLYN, NY 11219-3118
(718) 435-3839
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
009448-1
NY
Other
Enumeration date
10/19/2015
Last updated
10/19/2015
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