Individual
LIAANORA KATAYEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2464 CONEY ISLAND AVE STE 3, BROOKLYN, NY 11223-5009
(888) 389-3277
Mailing address
495 WASHINGTON AVE APT 5C, BROOKLYN, NY 11238-2328
(347) 217-5618
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
009231
NY
Other
Enumeration date
08/09/2020
Last updated
08/09/2020
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