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Yuriy Nektalov, OPTICIANRY
Optician in New York, New York
NPI 1225501083

Yuriy Nektalov is a Optician based in New York, NY and is specialized in Optician. Yuriy Nektalov practices in New York, NY and has the professional credentials of OPTICIANRY. The NPI Number for Yuriy Nektalov is 1225501083 and holds a License No. 009720-1 (New York).

The current practice location address for Yuriy Nektalov is 577 2Nd Ave, New York, NY and can be reached out via phone at 212-686-8666.

Location: 577 2Nd Ave, New York, NY, 10016-6377
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Provider Profile Details
NPI Number
1225501083
Provider Name
Yuriy Nektalov
Credential
OPTICIANRY
Provider Entity Type
Individual
Gender
Male
Address
577 2Nd Ave, New York, NY, 10016-6377
Phone Number
212-686-8666
Fax Number
Provider Enumeration Date
01/04/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
009720-1 05 NY
009720-1 01 STATE OF NEW YORK
institution
Provider Business Practice Location Address Details
Address
577 2Nd Ave
City
State
Zip
10016-6377
Phone Number
212-686-8666
Fax Number
person
Provider Business Mailing Address Details
Address
577 2Nd Ave
City
State
Zip
10016-6377
Phone Number
212-686-8666
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
009720-1 (New York)
Definition
Definition to come...
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