| Doctor Name: | MR. IGOR SLONY |
| NPI Number: | 1215915731 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | OPTICIAN |
| License Number: | 34TD00331300 |
| Business Practice Address: | 11502 Liberty Ave South Richmond Hill, NY - 114191902 |
| Business Phone Number: | 7188358000 |
| Business Fax Number: | 7188455025 |
| Mailing Address: | 11502 Liberty Ave, SOUTH RICHMOND HILL |
| State: | NY |
| Postal Code: | 114191902 |
| Phone Number: | 7188358000 |
| Fax Number: | 7188455025 |
| NPI Enumeration Date: | 01/04/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1100X |
| License Number: | 34TD00331300 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Ophthalmic |
| Taxonomy Definition: | |