Individual
DEREK VUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
820 ROUTE 9 STE 1308, QUEENSBURY, NY 12804-1749
(518) 745-1200
Mailing address
11103 ROCKAWAY ST, MALTA, NY 12020-5226
(626) 525-3016
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
009434
NY
Other
Enumeration date
08/09/2021
Last updated
08/09/2021
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