Individual
SANDRA JOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3850 HEMPSTEAD TPKE, LEVITTOWN, NY 11756-1303
(516) 731-9604
Mailing address
46 PLAISTED AVE, SMITHTOWN, NY 11787-4760
(631) 836-0949
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
011026
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2024
Last updated
08/27/2024
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