Individual
DR. ASHLEY DAWLI IZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2770 BROADWAY, NEW YORK, NY 10025-2811
(212) 678-0530
Mailing address
29 GREAT HALL RD, MAHWAH, NJ 07430-2577
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV009013
NY
Other
Enumeration date
07/12/2019
Last updated
12/07/2019
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