Individual
LYUDMILA KUBYNINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 HYLAN BLVD, STATEN ISLAND, NY 10305-2015
(718) 420-6191
Mailing address
50 DORTMUNDER DR, MANALAPAN, NJ 07726-3800
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
008251-1
NY
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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