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Mr. Iosif Ifraimov
Optician in Cedarhurst, New York
NPI 1902304207

Iosif Ifraimov is a Optician based in Cedarhurst, NY and is specialized in Optician. Iosif Ifraimov practices in Cedarhurst, NY. The NPI Number for Iosif Ifraimov is 1902304207 and holds a License No. 009518 (New York).

The current practice location address for Iosif Ifraimov is 482 Central Ave, Cedarhurst, NY and can be reached out via phone at 516-792-5656.

Location: 482 Central Ave, Cedarhurst, NY, 11516-2007
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902304207
Provider Name
Iosif Ifraimov
Credential
Provider Entity Type
Individual
Gender
Male
Address
482 Central Ave, Cedarhurst, NY, 11516-2007
Phone Number
516-792-5656
Fax Number
Provider Enumeration Date
02/01/2018
Last Update Date
03/10/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
82-3299832 01 NY RESALE CERTIFICATE
institution
Provider Business Practice Location Address Details
Address
482 Central Ave
City
Cedarhurst
State
New York
Zip
11516-2007
Phone Number
516-792-5656
Fax Number
person
Provider Business Mailing Address Details
Address
482 Central Ave
City
Cedarhurst
State
New York
Zip
11516-2007
Phone Number
516-792-5656
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
009518 (New York)
Definition
Definition to come...
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