Individual
RUTH SUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
19 BITTERSWEET LN, GLEN COVE, NY 11542-1617
(516) 759-5574
Mailing address
19 BITTERSWEET LN, GLEN COVE, NY 11542-1617
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T005999
NY
Other
Enumeration date
09/02/2009
Last updated
09/02/2009
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