Individual
OLGA KAZACHKOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3060 OCEAN AVE, APT 3V, BROOKLYN, NY 11235-3364
(646) 358-2959
Mailing address
3060 OCEAN AVE, APT 3V, BROOKLYN, NY 11235-3364
(646) 358-2959
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
007438
NY
Other
Enumeration date
07/20/2009
Last updated
07/21/2009
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