Individual
JOANNA SARANTAKOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OPTOMETRIST
Contact information
Practice address
1594 FLATBUSH AVE, BROOKLYN, NY 11210-3030
(718) 434-0539
Mailing address
1014 66TH ST, BROOKLYN, NY 11219-5905
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T004937
NY
Other
Enumeration date
07/24/2006
Last updated
02/05/2008
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