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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. RAGI MAMISTVALOV, OD

Active

DR. RAGI MAMISTVALOV, OD is a Optometrist healthcare provider located in HOLBROOK, New York. NPI 1871783472 is currently active in the NPPES registry. Verify at CMS.

Optometrist · HOLBROOK, NY

Registration Details

NPI Number
1871783472
Provider Type
Individual
Gender
Male
NPI Issued
Jul 30, 2007 (19.012630755199 yrs)
Last Updated
Apr 3, 2012
License
TUV0064581 (NY)

Practice Information

Address
2707 SADDLE ROCK ROAD
HOLBROOK, NY, 11741
Browse NY providers · Browse ZIP 11741
Phone
6313191293
Primary Specialty
Optometrist
152W00000X

Other Optometrist Providers in HOLBROOK, NY

Name Credential NPI
ARLENE EDITH MINKOFF O.D. 1255419180
DR. CHERYL GLORIA MURPHY O.D. 1447311675
DR. MARTIN LEIBOWITZ O.D. 1245358753
CAROLYN SCOTT O.D. 1497957385
JESSICA P. ENG O.D. 1487966297
SUCHI MATALIA O.D. 1790037166
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.