Individual
MANDIP KAUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D
Contact information
Practice address
8614 ASTORIA BLVD, EAST ELMHURST, NY 11369
(347) 893-7142
Mailing address
86-14 ASTORIA BLVD, EAST ELMHURST, NY 11369
(347) 893-7142
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV008480
NY
390200000X
Student in an Organized Health Care Education/Training Program
008480
NY
Other
Enumeration date
09/01/2016
Last updated
09/25/2016
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