Alla Dyatlov
Optician
139 Flatbush Ave Atlantic Terminal Mall
Brooklyn
, New York 11217-1450
(718) 522-3894
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About
Features
Specialties
- Optician
Languages spoken
- English
Location
First Address
- Alla Dyatlov
- 139 Flatbush Ave Atlantic Terminal Mall
- Brooklyn, NY
- Zip : 11217-1450
- Fax : (718) 522-3894
- Phone : (718) 522-3737
Second Address
- Alla Dyatlov
- 139 Flatbush Ave Atlantic Terminal Mall
- Brooklyn, NY
- Zip : 11217-1450
- Fax : (718) 522-3894
- Phone : (718) 522-3737
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 156FX1800X | Optician | 006774-1 | NY |
National Provider Identifier
| NPI | 1205018488 |
|---|---|
| Provider Name | Alla Dyatlov |
| First Address | Brooklyn, NY 11217-1450 |
| Second Address | Brooklyn, NY 11217-1450 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/11/2007 |
| Last Update Date | 29/11/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.