Organization
BRUNELL SOUTHDOWN OPTICAINS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN B BRUNELL OD (OWNER)
(631) 271-0550
Entity
Organization
Contact information
Practice address
210 WALL ST UNIT A, HUNTINGTON, NY 11743-2092
(631) 271-0550
Mailing address
210 WALL ST UNIT A, HUNTINGTON, NY 11743-2092
(631) 271-0550
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
03/28/2020
Last updated
03/28/2020
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