Individual
EUNG JIN BRENDON BAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
9620 METROPOLITAN AVE, FOREST HILLS, NY 11375-6625
(718) 793-2020
Mailing address
9620 METROPOLITAN AVE, FOREST HILLS, NY 11375-6625
(718) 793-2020
(718) 793-2022
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
RT009885
NY
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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