Jacob Davidov, LICENSED OPTICIAN
NPI 1932239191 · on the registry since 2007 · sole proprietor
Practice
- Address
- 9309 63rd Dr # A
Rego Park, NY 11374 - Phone
- (718) 275-0955
- Fax
- (718) 275-3725
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
- 2007-07-08
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