Individual
SMITA GOVILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
33 W 42ND ST, NEW YORK, NY 10036-8005
(212) 938-4001
Mailing address
215 PASSAIC AVE APT 8A, PASSAIC, NJ 07055-3610
(973) 216-7989
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV009478-01
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/26/2021
Last updated
10/25/2021
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