Individual
GRACE CHIYU TO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3130 GRAND CONCOURSE, BRONX, NY 10458-1213
(718) 749-3200
Mailing address
8628 53RD AVE, ELMHURST, NY 11373-4329
(516) 965-8882
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV009137
NY
Other
Enumeration date
06/22/2020
Last updated
06/22/2020
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