Individual
JACLYN BRUNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
33 W 42ND ST, NEW YORK, NY 10036-8005
(732) 938-4001
Mailing address
4719 28TH AVE # 1, ASTORIA, NY 11103-1116
(732) 688-4729
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV007696
NY
Other
Enumeration date
07/05/2011
Last updated
07/05/2011
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