Individual
OLENA KUZNETSOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
33 W 42ND ST, NEW YORK, NY 10036-8005
(212) 938-4000
Mailing address
145 E 15TH ST APT 1E, NEW YORK, NY 10003-3532
(212) 475-7947
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
008791
NY
Other
Enumeration date
04/25/2018
Last updated
10/01/2018
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