Individual
JOHN TAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
187 AVENUE U, BROOKLYN, NY 11223-3741
(718) 373-2020
Mailing address
1843 E 28TH ST, BROOKLYN, NY 11229-2514
(917) 362-6226
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
008470
NY
Other
Enumeration date
07/11/2016
Last updated
07/11/2016
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