Individual
SERGIO CISNEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
11915 ATLANTIC AVE, RICHMOND HILL, NY 11418-3216
(718) 805-0700
(718) 805-5621
Mailing address
11915 ATLANTIC AVE, RICHMOND HILL, NY 11418-3216
(718) 805-0570
(718) 805-5621
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV0009594
NY
Other
Enumeration date
07/12/2022
Last updated
07/12/2022
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