NPI 1043447220

Tamara Viktory Petrosyan, OD

Practitioner Optometrist Jamaica, NY

Practice location

Address: 9704 Sutphin Blvd, Jamaica, NY 11435-4721
Phone: (718) 657-7088
Fax: (718) 657-7092
Mailing address: 60 Madison Ave Fl 5, New York, NY 10010-1600

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence TUV007431 (NY)

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Registry record

NPI: 1043447220
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Jun 2009
Record last updated: 27 Feb 2019

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.