Organization
NORTH QUEENS OPTOMETRIC ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA CHAN-O'CONNELL O.D. (PARTNER)
(516) 426-5526
Entity
Organization
Contact information
Practice address
13505 20TH AVE, COLLEGE POINT, NY 11356-2446
(718) 661-0713
Mailing address
919 N BAY AVE, MASSAPEQUA, NY 11758-2545
(516) 541-7861
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV 006091
NY
Other
Enumeration date
09/07/2010
Last updated
09/07/2010
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