Individual
DR. SOPHIA VISANJI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
312 BLEECKER ST, NEW YORK, NY 10014-3437
(212) 989-7060
Mailing address
632 BROADWAY, NEW YORK, NY 10012-2614
(617) 835-9404
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
008195
NY
Other
Enumeration date
06/30/2014
Last updated
03/16/2021
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