Individual
ANGELA WEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 POLY PL, BROOKLYN, NY 11209-7104
(718) 836-6600
Mailing address
13 COLONIAL WAY, LIVINGSTON, NJ 07039-2605
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV009406
NY
390200000X
Student in an Organized Health Care Education/Training Program
TUV009406
NY
Other
Enumeration date
07/23/2021
Last updated
11/04/2022
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