Jacob Davidov, LICENSEDOPTICIAN
Jacob Davidov, LICENSEDOPTICIAN is an Optician in Rego Park, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2007
Practice location Address checks out
9309 63rd Dr # ARego Park, NY 11374-2924
Phone: (718) 275-0955
Fax: (718) 275-3725
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Specialties & licences
| Optician (primary) | Taxonomy 156FX1800X · Licence 006154-1 (NY) |
|---|
Record details
| NPI number | 1932239191 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LICENSEDOPTICIAN |
| Sole proprietor | Yes |
| NPI enumerated | March 6, 2007 |
| Last updated in NPPES | July 8, 2007 |
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