Individual
JENNIFER KIM LY LLANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3250 VERNON BLVD, LONG ISLAND CITY, NY 11106-4927
(718) 267-3687
Mailing address
3250 VERNON BLVD, LONG ISLAND CITY, NY 11106-4927
(718) 267-3687
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9003T
TX
Other
Enumeration date
07/29/2016
Last updated
02/15/2025
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