person
Leonid Gladstein
Optician in Deer Park, New York
NPI 1952892622

Leonid Gladstein is a Optician based in Deer Park, NY and is specialized in Optician. Leonid Gladstein practices in Deer Park, NY. The NPI Number for Leonid Gladstein is 1952892622 and holds a License No. 006983 (New York).

The current practice location address for Leonid Gladstein is 409 Commack Rd Ste 2B, Deer Park, NY and can be reached out via phone at 917-887-8872.

Location: 409 Commack Rd Ste 2B, Deer Park, NY, 11729-4508
person
Provider Profile Details
NPI Number
1952892622
Provider Name
Leonid Gladstein
Credential
Provider Entity Type
Individual
Gender
Male
Address
409 Commack Rd Ste 2B, Deer Park, NY, 11729-4508
Phone Number
917-887-8872
Fax Number
Provider Enumeration Date
05/29/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
006983 05 NY
institution
Provider Business Practice Location Address Details
Address
409 Commack Rd Ste 2B
City
State
Zip
11729-4508
Phone Number
917-887-8872
Fax Number
person
Provider Business Mailing Address Details
Address
409 Commack Rd Ste 2B
City
State
Zip
11729-4508
Phone Number
917-887-8872
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
006983 (New York)
Definition
Definition to come...
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