Individual
MRS. ILONA GRIMBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6373 108TH ST, FOREST HILLS, NY 11375-1607
(718) 896-2020
(718) 459-3490
Mailing address
6373 108TH ST, FOREST HILLS, NY 11375-1607
(718) 896-2020
(718) 459-3490
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
007492-1
NY
Other
Enumeration date
11/14/2008
Last updated
11/14/2008
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