Individual
DR. RACHAIL AVIZOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1566A 1ST AVE, NEW YORK, NY 10028-4004
(347) 335-2116
Mailing address
1566A 1ST AVE, NEW YORK, NY 10028-4004
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
011087
NY
Other
Enumeration date
11/04/2024
Last updated
12/26/2024
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