Individual
CAROLINA MARISOL REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
54 W BURNSIDE AVE, BRONX, NY 10453-4018
(718) 299-5454
Mailing address
54 W BURNSIDE AVE, BRONX, NY 10453-4018
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
009318
NY
Other
Enumeration date
04/01/2021
Last updated
04/01/2021
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