Individual
DR. TEWODROS KIROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1225 GERARD AVE, EYE CLINIC 3RD FLOOR, BRONX, NY 10452-8001
(718) 960-2813
(718) 960-2798
Mailing address
305 CONVENT AVE, #33, NEW YORK, NY 10031-6315
(718) 960-2813
(718) 960-2798
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV006487
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02321126
—
NY
Enumeration date
10/26/2006
Last updated
09/03/2010
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