Individual
ANGELINA MENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105B DYCKMAN STREET, NEW YORK, NY 10040-1002
(212) 569-3937
(212) 304-3937
Mailing address
105-B DYCMAN STREET, NEW YORK, NY 10040-1002
(212) 569-3937
(212) 304-3937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TU004526-1
NY
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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