person
Mr. Bruce David Mirkin
Optician in Rockville Centre, New York
NPI 1871661132

Bruce David Mirkin is a Optician based in Rockville Centre, NY and is specialized in Optician. Bruce David Mirkin practices in Rockville Centre, NY. The NPI Number for Bruce David Mirkin is 1871661132 and holds a License No. 004817-1 (New York).

The current practice location address for Bruce David Mirkin is 28 S Park Ave, Rockville Centre, NY and can be reached out via phone at 516-766-2800 and via fax at 516-766-0222.

Location: 28 S Park Ave, Rockville Centre, NY, 11570-5280
person
Provider Profile Details
NPI Number
1871661132
Provider Name
Bruce David Mirkin
Credential
Provider Entity Type
Individual
Gender
Male
Address
28 S Park Ave, Rockville Centre, NY, 11570-5280
Phone Number
516-766-2800
Fax Number
516-766-0222
Provider Enumeration Date
12/02/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
28 S Park Ave
City
State
Zip
11570-5280
Phone Number
516-766-2800
Fax Number
516-766-0222
person
Provider Business Mailing Address Details
Address
28 S Park Ave
City
State
Zip
11570-5280
Phone Number
516-766-2800
Fax Number
516-766-0222
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
004817-1 (New York)
Definition
Definition to come...
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