Organization
DR. LUCIA PATINO, OPTOMETRIST, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCIA PATINO O.D, (OWNER)
(718) 505-9401
Entity
Organization
Contact information
Practice address
9534 ROOSEVELT AVE, JACKSON HEIGHTS, NY 11372-8029
(718) 505-9401
Mailing address
9534 ROOSEVELT AVE, JACKSON HEIGHTS, NY 11372-8029
(718) 505-9401
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
006595
NY
Other
Enumeration date
07/22/2010
Last updated
01/27/2021
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