Individual
DR. ATHINA DOULAVERIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1055 STEWART AVENUE, BETHPAGE, NY 11714-3596
(516) 938-0100
(516) 938-0120
Mailing address
55 WATER ST, 2ND FLOOR CRED DEPT, NEW YORK, NY 10041-0004
(646) 680-2888
(516) 542-5556
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV008196
NY
Other
Enumeration date
07/23/2014
Last updated
03/02/2022
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