Individual
JI GUO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
874 SUNRISE HWY, BAY SHORE, NY 11706-5908
(631) 894-0345
Mailing address
7526 168TH ST, FRESH MEADOWS, NY 11366-1332
(917) 280-8169
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV009547
NY
Other
Enumeration date
07/05/2022
Last updated
07/05/2022
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