Individual
DR. BRYAN ROBERT SOOKOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
901 BOULEVARD E, YAPHANK, NY 11980-7511
(631) 729-4041
(631) 205-7157
Mailing address
39 SYLVAN DR, HOLTSVILLE, NY 11742-2113
(631) 398-7059
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
009227
NY
Other
Enumeration date
05/29/2019
Last updated
01/10/2024
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