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Izick Khanimov, OPTICIAN
Ophthalmic Assistant in Brooklyn, New York
NPI 1013506948

Izick Khanimov is a Ophthalmic Assistant based in Brooklyn, NY and is specialized in Ophthalmic Assistant. Izick Khanimov practices in Brooklyn, NY and has the professional credentials of OPTICIAN. The NPI Number for Izick Khanimov is 1013506948 and holds a License No. 00897-01 (New York).

The current practice location address for Izick Khanimov is 115 7Th Ave, Brooklyn, NY and can be reached out via phone at 718-398-2020 and via fax at 718-230-0024.

Location: 115 7Th Ave, Brooklyn, NY, 11215-1301
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013506948
Provider Name
Izick Khanimov
Credential
OPTICIAN
Provider Entity Type
Individual
Gender
Male
Address
115 7Th Ave, Brooklyn, NY, 11215-1301
Phone Number
718-398-2020
Fax Number
718-230-0024
Provider Enumeration Date
01/14/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
008970-1 01 NY OPTICIAN
institution
Provider Business Practice Location Address Details
Address
115 7Th Ave
City
Brooklyn
State
New York
Zip
11215-1301
Phone Number
718-398-2020
Fax Number
718-230-0024
person
Provider Business Mailing Address Details
Address
115 7Th Ave
City
Brooklyn
State
New York
Zip
11215-1301
Phone Number
718-398-2020
Fax Number
718-230-0024
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Ophthalmic Assistant
Taxonomy
156FX1101X
License No.
00897-01 (New York)
Definition
Definition to come...
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