Individual
DR. DANA LYNN MAVROVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
138 E FORDHAM RD, BRONX, NY 10468-5408
(718) 933-0187
(718) 364-7300
Mailing address
330 E 63RD ST APT 3E, NEW YORK, NY 10065-7778
(917) 671-6898
(718) 364-7300
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV005957
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02661723
—
NY
Enumeration date
09/16/2006
Last updated
12/19/2012
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