Individual
MS. TATYANA MANEVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
944 KINGS HWY, BROOKLYN, NY 11223-2338
(718) 332-4704
(718) 615-4739
Mailing address
1075 BRIGHTON BEACH AVE, BROOKLYN, NY 11235-5658
(718) 332-4704
(718) 615-4739
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
005712
NY
Other
Enumeration date
05/18/2006
Last updated
07/08/2007
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