Individual
MRS. ASTRID SOPHIA PORQUEDDU
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
1 HELEN KELLER WAY, HEMPSTEAD, NY 11550
(516) 485-1234
(516) 538-6785
Mailing address
42 EAGLE LANE, LEVITTOWN, NY 11756
(516) 796-3842
(516) 538-6785
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
VUT005767
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T005767
—
NY
Enumeration date
02/13/2006
Last updated
07/08/2007
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