Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IZICK KHANIMOV, OPTICIAN
Active Sole ProprietorIZICK KHANIMOV, OPTICIAN is a 156FX1101X healthcare provider located in BROOKLYN, New York. NPI 1013506948 is currently active in the NPPES registry. Verify at CMS.
156FX1101X · BROOKLYN, NY
Registration Details
- NPI Number
- 1013506948
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 14, 2021 (5.5893365985185 yrs)
- Last Updated
- Jan 14, 2021
- License
-
00897-01 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
115 7TH AVEBROOKLYN, NY, 112151301Browse NY providers · Browse ZIP 11215
- Phone
- 7183982020
- Fax
- 7182300024
- Primary Specialty
-
156FX1101X
156FX1101X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.