Individual
SUSAN MUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
810 BROADWAY, NEW YORK, NY 10003-4800
(212) 505-1234
Mailing address
810 BROADWAY, NEW YORK, NY 10003-4800
(212) 505-1234
(212) 505-1236
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV008272-1
NY
Other
Enumeration date
07/03/2015
Last updated
07/13/2015
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