Individual
BRIAN YOUNG SONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3801 MIRANDA AVE, PALO ALTO, CA 94304-1207
(516) 587-9600
Mailing address
860 QUINCE AVE APT 208C, SANTA CLARA, CA 95051-4101
(516) 587-9600
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
011240
NY
Other
Enumeration date
09/01/2025
Last updated
09/01/2025
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