Inna Medow, licensed optician
Technician/Technologist, Optician in Brooklyn, NY. Individual provider (NPI-1).
NPI number1881865616
StatusActive
Last updated in NPPESMar 19, 2008
Details
- NPI
- 1881865616
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Inna Medow
- Credential
- licensed optician
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 19, 2008
- Last updated
- Mar 19, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1800X | Technician/Technologist, Optician | 006195-1 | NY | Yes |
Practice location
423 Fulton StBrooklyn, NY 11201-5121
Phone 718-522-5656 · Fax 718-522-6444
Mailing address
423 Fulton StBrooklyn, NY 11201-5121
Phone 718-522-5656 · Fax 718-522-6444
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