Individual
MR. SURESH SANPAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
18116 HILLSIDE AVE, JAMAICA, NY 11432-4852
(718) 297-2997
(188) 809-8497
Mailing address
9065 180TH ST PH, JAMAICA, NY 11432-5612
(718) 297-2997
(718) 880-9849
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
005810
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03978205
—
NY
Enumeration date
10/28/2013
Last updated
07/29/2024
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