Individual
HONG JI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
75 W ROUTE 59, NANUET, NY 10954-2706
(845) 627-2582
Mailing address
75 W ROUTE 59, NANUET, NY 10954-2706
(845) 627-2582
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
4886
MA
152W00000X
Optometrist
Primary
TUV007805-1
NY
Other
Enumeration date
06/05/2012
Last updated
03/01/2017
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