MARK MONROE LAVA

BROOKLYN, NY
NPI1275622490
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy156FX1800X Technician/Technologist, Optician
(Licence: NY  3926)
Enumeration Date2006-10-12
Last Update Date2007-07-08
Business Address
-- MARK MONROE LAVA optician
8949 BAY PKWY
BROOKLYN, NY 11214-6437
Phone number: 718-372-1212
Mailing Address
-- MARK MONROE LAVA optician
2900 OCEAN AVE APT. 2D
BROOKLYN, NY 11235-3270
Phone number: 718-743-8467
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