Individual
DR. TARA CAMILLE WONG-CHIOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
577 2ND AVE, NEW YORK, NY 10016-6377
(650) 714-6052
Mailing address
155 E 38TH ST APT 15B, NEW YORK, NY 10016-2664
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV008163-1
NY
Other
Enumeration date
08/14/2014
Last updated
10/15/2020
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