Individual
DR. MIRIAM SUSAN KORIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
107 BOYLAN ST, STATEN ISLAND, NY 10312-1421
(646) 463-1789
Mailing address
107 BOYLAN ST, STATEN ISLAND, NY 10312-1421
(646) 463-1789
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV009140
NY
Other
Enumeration date
06/27/2020
Last updated
06/27/2020
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