Individual
DR. ERICA JEAN SHUDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
536 ROUTE 111, HAUPPAUGE, NY 11788-4346
(631) 265-4700
Mailing address
4 TAMMI CT, KINGS PARK, NY 11754-5035
(631) 269-7067
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV-008600-1
NY
Other
Enumeration date
06/23/2017
Last updated
06/23/2017
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