Individual
DR. SHAZZATUL REZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3416 JEROME AVE, BRONX, NY 10467-1002
(718) 325-3160
Mailing address
7 LAKE ST APT 5C, WHITE PLAINS, NY 10603-3848
(773) 614-1713
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
009451
NY
Other
Enumeration date
09/20/2021
Last updated
09/20/2021
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