Individual
IVONA LEOPOLDINA KULUSIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2058 LEXINGTON AVE, NEW YORK, NY 10035-1732
(212) 360-7422
Mailing address
2058 LEXINGTON AVE, NEW YORK, NY 10035-1732
(212) 360-7422
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T005637
NY
Other
Enumeration date
12/03/2013
Last updated
12/03/2013
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