Dyatlov, Alla

Dyatlov, Alla is an sole proprietor health care provider with primary practice located at 139 Flatbush Ave Atlantic Terminal Mall, Brooklyn NY 11217-1450. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Dyatlov, Alla can be contacted via phone (718) 522-3737.

Contact Information

Primary practice address
139 Flatbush Ave Atlantic Terminal Mall Brooklyn NY 11217-1450
Phone: (718) 522-3737
Fax: (718) 522-3894
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 006774-1 New York

Profile Details

NPI number 1205018488
LBN Legal business name Dyatlov, Alla
Credentials OPTICIAN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2007
Last updated Nov 29th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers