NPI 1023615564

Julietta Mullokandova, OPTHALMICDISPENSER

Practitioner Optician Bronx, NY

Practice location

Address: 2445 Arthur Ave, Bronx, NY 10458-6003
Phone: (917) 473-6699
Fax: (917) 473-6697
Mailing address: 10540 62nd Rd APT 1m, Forest Hills, NY 11375-1119

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X Licence 0997-01 (NY)

Other Technician/Technologist providers in New York →

Registry record

NPI: 1023615564
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Oct 2020
Record last updated: 7 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.