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Individual

SHERMAN LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
1041 GREEN ACRES MALL, VALLEY STREAM, NY 11581-4511
(516) 825-8990
Mailing address
1041 GREEN ACRES MALL, VALLEY STREAM, NY 11581-1531
(516) 825-8990

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
NY5696
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01421416
NY
Enumeration date
09/21/2006
Last updated
07/01/2015
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