IGOR VALERY SUPITSKIY

BROOKLYN, NY
NPI1255427654
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy156FX1800X Technician/Technologist Optician
(Licence: NY  007691-1)
Enumeration Date2006-10-04
Last Update Date2007-07-08
Business Address
MR. IGOR VALERY SUPITSKIY OPHTHALMIC DISPENSER
1018 NOSTRAND AVE # C
BROOKLYN, NY 11225-3509
Phone number: 718-773-9391
Mailing Address
MR. IGOR VALERY SUPITSKIY OPHTHALMIC DISPENSER
4729 BEDFORD AVE
BROOKLYN, NY 11235-2607
Phone number: 718-773-9391
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