Individual
MR. AVI SUYUNOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPT.
Contact information
Practice address
4803 13TH AVE, BROOKLYN, NY 11219-3112
(347) 533-6050
(347) 533-6051
Mailing address
4803 13TH AVE, BROOKLYN, NY 11219-3112
(347) 533-6050
(347) 533-6051
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
008339
NY
Other
Enumeration date
02/23/2014
Last updated
02/23/2014
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