| NPI | 1972754109 |
|---|---|
| Professional Name | ALEXANDER KOVBASYUK |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: NY 006560-1) |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2013-05-16 |