Individual
MARY WU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2933 BROADWAY, NEW YORK, NY 10025-7801
(212) 662-0400
Mailing address
2933 BROADWAY, NEW YORK, NY 10025-7801
(212) 662-0400
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
007739
NY
Other
Enumeration date
06/30/2011
Last updated
06/30/2011
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