Individual
LARISA MIRAKOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
LUXURY VISION CENTER, 1125 LIBERTY AVE, BROOKLYN, NY 11208
(917) 471-9505
Mailing address
LUXURY VISION CENTER, 1125 LIBERTY AVE, BROOKLYN, NY 11208
(917) 471-9505
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
008101
NY
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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