Individual
CAROLINE CHU CRISOSTOMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
136 E 57TH ST STE 1502, NEW YORK, NY 10022-2780
(212) 288-0618
Mailing address
284 MOTT ST APT 2B, NEW YORK, NY 10012-3492
(703) 303-1379
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
009644
NY
Other
Enumeration date
08/23/2022
Last updated
08/23/2022
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