Mr. Igor Valery Supitskiy, OPHTHALMICDISPENSER
Mr. Igor Valery Supitskiy, OPHTHALMICDISPENSER is an Optician in Brooklyn, New York. Licensed in New York. Registered with an NPI since 2006.
- Licensed in
- NY
- In the registry since
- 2006
Practice location Address checks out
1018 Nostrand Ave # CBrooklyn, NY 11225-3509
Phone: (718) 773-9391
Fax: (718) 773-9391
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Specialties & licences
| Optician (primary) | Taxonomy 156FX1800X · Licence 007691-1 (NY) |
|---|
Record details
| NPI number | 1255427654 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | OPHTHALMICDISPENSER |
| Sole proprietor | No |
| NPI enumerated | October 4, 2006 |
| Last updated in NPPES | July 8, 2007 |
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