Individual
CHAIM ISAHAROV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
78 ROCKAWAY AVE, VALLEY STREAM, NY 11580-5809
(516) 341-0485
Mailing address
78 ROCKAWAY AVE, VALLEY STREAM, NY 11580-5809
(516) 341-0485
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
P127564
NY
Other
Enumeration date
06/14/2024
Last updated
07/12/2024
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