Mikhail Bangiyev, Optician
Technician/Technologist, Optician in Bronx, NY. Individual provider (NPI-1).
NPI number1295096402
StatusActive
Last updated in NPPESJul 7, 2021
Details
- NPI
- 1295096402
- Entity type
- Individual (NPI-1)
- Name
- Mikhail Bangiyev
- Credential
- Optician
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 4, 2012
- Certification date
- Jul 7, 2021
- Last updated
- Jul 7, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1800X | Technician/Technologist, Optician | 009174 | NY | Yes |
Practice location
43 E 167th StBronx, NY 10452-8206
Phone 718-992-2128
Mailing address
43 E 167th StBronx, NY 10452-8206
Phone 718-992-2128
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