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Individual

SHIHCHUN TAI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
8016 COOPER AVE # 3, GLENDALE, NY 11385-7741
(718) 971-0651
Mailing address
10518 METROPOLITAN AVE, FOREST HILLS, NY 11375-6738
(718) 971-0651

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
008765
NY

Other

Enumeration date
06/20/2018
Last updated
06/20/2018
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