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Individual

SOULA ECONOMOU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3620 BROADWAY, ASTORIA, NY 11106-1046
(718) 204-2007
Mailing address
415 E 52ND ST, APT. 9NC, NEW YORK, NY 10022-6424

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
004992
NY

Other

Enumeration date
02/01/2007
Last updated
03/16/2010
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