Individual
NA MA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
39 KINGS POINT RD, GREAT NECK, NY 11024-1635
(516) 385-9186
Mailing address
39 KINGS POINT RD, GREAT NECK, NY 11024-1635
(516) 385-9186
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
250375
NY
Other
Enumeration date
04/01/2008
Last updated
08/27/2010
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