Individual
SASHA BALWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1434 110TH ST STE 303, COLLEGE POINT, NY 11356-1448
(718) 964-6161
Mailing address
1434 110TH ST STE 303, COLLEGE POINT, NY 11356-1448
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
56008534
NY
Other
Enumeration date
12/09/2016
Last updated
04/25/2017
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