Individual
LILLIAN ELISA SANTANA-RESTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
274 W 125TH ST, ALL EYES ON US, INC., NEW YORK, NY 10027-4410
(212) 663-1511
(212) 663-1510
Mailing address
1065 SOUTHERN BLVD, BRONX, NY 10459-2417
(718) 589-2440
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUVOO4957
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02666535
—
NY
01
—
11510086
CAQH PROVIDER ID
NY
Enumeration date
09/20/2006
Last updated
04/09/2019
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