Mikhail Kisselev
Mikhail Kisselev is an Optician in Staten Island, New York. Registered with an NPI since 2014.
- In the registry since
- 2014
Practice location Address checks out
826 Sheldon AveStaten Island, NY 10309-2445
Phone: (718) 652-1750
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Specialties & licences
| Optician (primary) | Taxonomy 156FX1800X · Licence 006681 |
|---|
Record details
| NPI number | 1902219074 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 6, 2014 |
| Last updated in NPPES | June 6, 2014 |
| Mailing address | 826 Sheldon Ave, Staten Island, NY 10309-2445 |
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