Individual
DR. DIANA SOPHIA NYCHKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
93 BOSTON POST RD, ORANGE, CT 06477-3203
(203) 799-3937
Mailing address
10 OLD FIELD PL, NORWALK, CT 06853-1116
(203) 956-7496
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2635
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CT2635
STATE LICENSE
CT
Enumeration date
04/16/2007
Last updated
07/08/2007
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