Individual
KARL LEIGH ARIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
4704 CHURCH AVE, BROOKLYN, NY 11203-3210
(718) 639-0911
(718) 693-0911
Mailing address
4704 CHURCH AVE, BROOKLYN, NY 11203-3210
(718) 639-0911
(718) 693-0911
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
4517
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00483321
—
NY
Enumeration date
12/24/2007
Last updated
12/24/2007
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