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Oleg Petrogalis
Optician in Valley Stream, New York
NPI 1568978336

Oleg Petrogalis is a Optician based in Valley Stream, NY and is specialized in Optician. Oleg Petrogalis practices in Valley Stream, NY. The NPI Number for Oleg Petrogalis is 1568978336 and holds a License No. 6702 (New York).

The current practice location address for Oleg Petrogalis is 77 Green Acres Rd, Valley Stream, NY and can be reached out via phone at 516-612-0528 and via fax at 516-887-2565.

Location: 77 Green Acres Rd, Valley Stream, NY, 11581-1008
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568978336
Provider Name
Oleg Petrogalis
Credential
Provider Entity Type
Individual
Gender
Male
Address
77 Green Acres Rd, Valley Stream, NY, 11581-1008
Phone Number
516-612-0528
Fax Number
516-887-2565
Provider Enumeration Date
12/15/2017
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0710862119 05 NY
institution
Provider Business Practice Location Address Details
Address
77 Green Acres Rd
City
Valley Stream
State
New York
Zip
11581-1008
Phone Number
516-612-0528
Fax Number
516-887-2565
person
Provider Business Mailing Address Details
Address
77 Green Acres Rd
City
Valley Stream
State
New York
Zip
11581-1008
Phone Number
516-612-0528
Fax Number
516-887-2565
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
6702 (New York)
Definition
Definition to come...
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