Roman Rakhimov
Optician
224 Sunrise Mall
Massapequa
, New York 11758-4340
(718) 262-0410
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About
Features
Specialties
- Optician
Languages spoken
- English
Location
First Address
- Roman Rakhimov
- 143-26 84 Th Rd
- Jamaica, NY
- Zip : 11435
- Phone : (718) 262-0410
Second Address
- Roman Rakhimov
- 224 Sunrise Mall
- Massapequa, NY
- Zip : 11758-4340
- Phone : (516) 795-3030
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 156FX1800X | Optician | 007325 | NY |
National Provider Identifier
| NPI | 1023229481 |
|---|---|
| Provider Name | Roman Rakhimov |
| First Address | Jamaica, NY 11435 |
| Second Address | Massapequa, NY 11758-4340 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/05/2007 |
| Last Update Date | 14/11/2008 |
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.