NPI 1861646093

Ilona Grimberg

Practitioner Optician Forest Hills, NY

Practice location

Address: 6373 108th St, Forest Hills, NY 11375-1607
Phone: (718) 896-2020
Fax: (718) 459-3490

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X Licence 007492-1 (NY)

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Registry record

NPI: 1861646093
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Nov 2008
Record last updated: 14 Nov 2008

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.