| Dynamic Optical 37 Inc | |
|
37 Graham Ave, Brooklyn, NY 11206-4001 | |
| (347) 725-3157 | |
| Not Available |
| Full Name | Dynamic Optical 37 Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 37 Graham Ave, Brooklyn, New York |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912691999 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Nadezhda Nisimova |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841546918 PECOS PAC ID: 6800044611 Enrollment ID: I20120920000521 |
| Mailing Address | Practice Location Address |
|---|---|
| Dynamic Optical 37 Inc 37 Graham Ave, Brooklyn, NY 11206-4001 Ph: (347) 725-3157 | Dynamic Optical 37 Inc 37 Graham Ave, Brooklyn, NY 11206-4001 Ph: (347) 725-3157 |
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