Individual
LUCY CEDERHOLM
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
420 FULTON ST, BROOKLYN, NY 11201-5214
(718) 802-7674
(718) 802-7591
Mailing address
420 FULTON ST, BROOKLYN, NY 11201-5214
(718) 802-7674
(718) 802-7591
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV005884-1
NY
Other
Enumeration date
06/25/2006
Last updated
07/08/2007
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