Ilya Davidson, OPTICIAN
NPI 1063759082 · on the registry since 2013 · sole proprietor
Practice
- Address
- 324 Atlantic Ave
Brooklyn, NY 11201 - Phone
- (718) 624-6700
- Fax
- (718) 624-6701
- Organisation at this address
- My Unique Optique
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Optician
156FX1800X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-01-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York