Organization
EYE COUTURE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VITALY GUMENIK OPTICIAN (OPTICIAN)
(718) 975-0642
Entity
Organization
Contact information
Practice address
1809 AVENUE U, BROOKLYN, NY 11229-3903
(718) 975-0642
Mailing address
1809 AVENUE U, BROOKLYN, NY 11229-3903
(718) 975-0642
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
008166-1
NY
Other
Enumeration date
10/02/2009
Last updated
10/02/2009
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