Individual
BINISHYA DE SILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
60 BROAD ST, NEW YORK, NY 10004-2306
(212) 785-0797
Mailing address
63 TROUTMAN ST APT 3A, BROOKLYN, NY 11206-6283
(310) 993-4344
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
008885
NY
Other
Enumeration date
09/14/2018
Last updated
09/14/2018
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