Individual
ALEXANDER KOVBASYUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ETC
Contact information
Practice address
3065 BRIGHTON 14ST, LOWER LEWEL, BROOKLYN, NY 11235-5501
(718) 332-5047
(631) 576-0540
Mailing address
3065 BRIGHTON 14ST, LOWER LEWEL, BROOKLYN, NY 11235-5501
(718) 332-5047
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
006560-1
NY
Other
Enumeration date
10/07/2008
Last updated
05/16/2013
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