SearchNew York156FX1100X

Vadim Kruzhkov

NPI 1720225733 · on the registry since 2009 · sole proprietor

Practice

Address
764 Manhattan Ave
Brooklyn, NY 11222
Phone
(718) 349-8313
Organisation at this address
Sunrx Optical Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
156FX1100X
156FX1100X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-01-13

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