Dr Michelle Yagnatovsky, OD | |
2965 Ocean Pkwy Ste 4, Brooklyn, NY 11235-8014 | |
(718) 333-2020 | |
Not Available |
Full Name | Dr Michelle Yagnatovsky |
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Gender | Female |
Speciality | Optometrist |
Location | 2965 Ocean Pkwy Ste 4, Brooklyn, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154055697 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 009590 (New York) | Primary |
Provider Name | My Optometry Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1730871237 PECOS PAC ID: 1456797968 Enrollment ID: O20240306003963 |
Mailing Address | Practice Location Address |
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Dr Michelle Yagnatovsky, OD 137 Buttonwood Rd, Staten Island, NY 10304-1211 Ph: () - | Dr Michelle Yagnatovsky, OD 2965 Ocean Pkwy Ste 4, Brooklyn, NY 11235-8014 Ph: (718) 333-2020 |
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