Individual
DR. JISELLE ALVAREZ-GRANADOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
7050 MALL WALK, YONKERS, NY 10704
(914) 968-2626
Mailing address
7050 MALL WALK, YONKERS, NY 10704
(914) 968-2626
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
009453
NY
Other
Enumeration date
09/14/2021
Last updated
11/01/2021
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