Individual
DR. BRENDA BOTWINICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
79 MIDDLEVILLE RD, NORTHPORT, NY 11768-2200
(631) 261-4400
Mailing address
533 HICKSVILLE RD, FAR ROCKAWAY, NY 11691-5423
(646) 628-3673
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV009359
NY
Other
Enumeration date
07/20/2021
Last updated
07/20/2021
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