Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1800X | Optician | 007438 | NY |
NPI | 1043454010 |
---|---|
Provider Name | Sveltana Aminova |
First Address | Kew Gardens, NY 11415-1501 |
Second Address | Kew Gardens, NY 11415-1501 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/04/2009 |
Last Update Date | 06/11/2014 |