Individual
AURORA SUSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 WESTCHESTER SQ, BRONX, NY 10461-3545
(718) 597-6162
(718) 597-6168
Mailing address
25 WESTCHESTER SQ, BRONX, NY 10461-3545
(718) 597-6162
(718) 597-6168
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
007390
NY
Other
Enumeration date
04/23/2013
Last updated
04/23/2013
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