Individual
MR. BRUCE DAVID MIRKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
28 S PARK AVE, ROCKVILLE CENTRE, NY 11570-5280
(516) 766-2800
(516) 766-0222
Mailing address
28 S PARK AVE, ROCKVILLE CENTRE, NY 11570-5280
(516) 766-2800
(516) 766-0222
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
004817-1
NY
Other
Enumeration date
12/02/2006
Last updated
04/08/2008
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