Individual
MINH VU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV008554
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TUV008554
LICENSE
NY
Enumeration date
03/28/2017
Last updated
01/04/2021
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