Individual
HEATHER BLANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
86 MANETTO HILL MALL, PLAINVIEW, NY 11803
(516) 935-0899
Mailing address
86 MANETTO HILL MALL, PLAINVIEW, NY 11803
(516) 935-0899
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T005376-1
NY
156FX1800X
Optician
C006425-1
NY
Other
Enumeration date
06/02/2010
Last updated
06/02/2010
About Stedi
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