Individual
DR. SUSAN VICTORIA ABDENOUR YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
27OA00434200
NJ
152W00000X
Optometrist
Primary
TUV004486-1
NY
Other
Enumeration date
08/17/2009
Last updated
08/17/2009
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