Individual
FAINA KHMELNITSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
425 MADISON AVE, NEW YORK, NY 10017-3422
(212) 230-1780
(212) 683-1947
Mailing address
425 MADISON AVE, SUITE 1501, NEW YORK, NY 10017-1110
(212) 230-1780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV006850
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02655085
—
NY
Enumeration date
10/15/2007
Last updated
06/06/2016
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