Individual
DR. MARK RICHARD SUKOENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
TU003680-1
NY
152W00000X
Optometrist
Primary
TUV003680
NY
152WL0500X
Low Vision Rehabilitation Optometrist
TU003680-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TU003680-1
NY OPTOMETRY LICENSE #
NY
Enumeration date
08/23/2005
Last updated
04/14/2016
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