Individual
MR. JASON SHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPT
Contact information
Practice address
458 3RD AVE, NEW YORK, NY 10016-6027
(212) 696-5990
(212) 696-5990
Mailing address
47 MOTT ST APT 45, NEW YORK, NY 10013-5014
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
0085391
NY
Other
Enumeration date
01/12/2009
Last updated
12/14/2009
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