Individual
LIOR SHEMTOVOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPHTHALMIC DISPENSER
Contact information
Practice address
7217 3RD AVE, BROOKLYN, NY 11209-2132
(646) 671-0616
(347) 909-7893
Mailing address
7217 3RD AVE, BROOKLYN, NY 11209-2132
(646) 671-0616
(347) 909-7893
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
009623-1
NY
Other
Enumeration date
06/08/2018
Last updated
06/08/2018
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