Individual
DR. BRUCE JOEL WILDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
ROSLYN EYE CENTER, 360 WILLIS AVE, ROSLYN HEIGHTS, NY 11577
(516) 484-8899
(516) 484-3311
Mailing address
2 BAY CLUB DR, 4Y, BAYSIDE, NY 11360-2917
(718) 229-0211
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T003689 1
NY
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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