Organization
GALLERIA VISION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKHAIL SHUR OPHTHALMIC DISPENSER (OWNER)
(718) 522-3737
Entity
Organization
Contact information
Practice address
1 DEKALB AVE, GALLERY AT FULTON STREET MALL, BROOKLYN, NY 11201-5324
(718) 522-3737
(718) 522-3894
Mailing address
1 DEKALB AVE, GALLERY AT FULTON STREET MALL, BROOKLYN, NY 11201-5324
(718) 522-3737
(718) 522-3894
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV006692
NY
Other
Enumeration date
05/14/2007
Last updated
08/22/2020
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