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General NPI Number Information
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NPI Number | 1427121235
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Entity Type | Organization
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Legal Business Name | GY OPTOMETRY CARE, PC
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 08/13/2013
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Provider Practice Location Address
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Address Line | 3511 QUENTIN RD
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City | BROOKLYN
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State | NY
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Zip | 11234-4516
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Country | US
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Telephone | 718-377-1021
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Fax | 718-513-1258
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Provider Business Mailing Address
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Address Line | 3511 QUENTIN RD
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City | BROOKLYN
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State | NY
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Zip | 11234-4516
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Country | US
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Telephone | 718-377-1021
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Fax | 718-513-1258
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Authorized Official
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Title or Position | OWNER
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Name | DR. YULIYA ROYTMAN
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Credential | OD
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Telephone | 718-377-1021
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | TUV006805
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License Number State | NY
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