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Individual

LIANA MIRONOV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
18 HEYWARD ST, BROOKLYN, NY 11249-9210
(917) 573-6114
Mailing address
72 COLERIDGE ST, BROOKLYN, NY 11235-4106
(917) 573-6114

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
OPFC93
FL
152W00000X
Optometrist
Primary
TUV008953
NY

Other

Enumeration date
07/22/2019
Last updated
10/13/2023
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