Individual
EMILY SHTULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3130 GRAND CONCOURSE, BRONX, NY 10458-1213
(718) 741-3200
Mailing address
505 W 54TH ST APT 526, NEW YORK, NY 10019-5058
(347) 968-8465
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV009352-01
NY
Other
Enumeration date
07/27/2021
Last updated
07/27/2021
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