Individual
JACKIE H WU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1657 BATH AVE, BROOKLYN, NY 11214-4509
(718) 331-1491
(718) 331-1491
Mailing address
1657 BATH AVE, BROOKLYN, NY 11214-4509
(718) 331-1491
(718) 331-1491
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
007175
NY
Other
Enumeration date
03/17/2009
Last updated
02/01/2012
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