Individual
LARA MENDELSSOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
777 3RD AVE, NEW YORK, NY 10017-1401
(212) 371-1879
(212) 371-0110
Mailing address
777 3RD AVE, NEW YORK, NY 10017-1401
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV007865
NY
Other
Enumeration date
06/21/2012
Last updated
02/20/2014
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