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1063759082
ILYA DAVIDSON
BROOKLYN, NY
NPI
1063759082
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
156FX1800X Technician/Technologist Optician
(Licence: NY 0088961)
Enumeration Date
2013-01-10
Last Update Date
2013-01-10
Business Address
MR. ILYA DAVIDSON OPTICIAN
324 ATLANTIC AVE
BROOKLYN, NY 11201-5852
Phone number: 718-624-6700
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Mailing Address
MR. ILYA DAVIDSON OPTICIAN
324 ATLANTIC AVE
BROOKLYN, NY 11201-5852
Phone number: 718-624-6700
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