Individual
JULIE KAUR BHALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1209 LEXINGTON AVE, NEW YORK, NY 10028-1404
(646) 757-2290
Mailing address
30 PERRY BAY, WINNIPEG, MB R2C3Y-4
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV009041
NY
Other
Enumeration date
08/19/2019
Last updated
08/19/2019
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