person
Mr. Igor Valery Supitskiy, OPHTHALMICDISPENSER
Optician in Brooklyn, New York
NPI 1255427654

Igor Valery Supitskiy is a Optician based in Brooklyn, NY and is specialized in Optician. Igor Valery Supitskiy practices in Brooklyn, NY and has the professional credentials of OPHTHALMICDISPENSER. The NPI Number for Igor Valery Supitskiy is 1255427654 and holds a License No. 007691-1 (New York).

The current practice location address for Igor Valery Supitskiy is 1018 Nostrand Ave # C, Brooklyn, NY and can be reached out via phone at 718-773-9391 and via fax at 718-773-9391.

Location: 1018 Nostrand Ave # C, Brooklyn, NY, 11235-2607
person
Provider Profile Details
NPI Number
1255427654
Provider Name
Igor Valery Supitskiy
Credential
OPHTHALMICDISPENSER
Provider Entity Type
Individual
Gender
Male
Address
1018 Nostrand Ave # C, Brooklyn, NY, 11235-2607
Phone Number
718-773-9391
Fax Number
718-773-9391
Provider Enumeration Date
10/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02241078 05 NY
institution
Provider Business Practice Location Address Details
Address
1018 Nostrand Ave # C
City
State
Zip
11225-3509
Phone Number
718-773-9391
Fax Number
718-773-9391
person
Provider Business Mailing Address Details
Address
1018 Nostrand Ave # C
City
State
Zip
11225-3509
Phone Number
718-773-9391
Fax Number
718-773-9391
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
007691-1 (New York)
Definition
Definition to come...
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