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Individual

JESSICA P. ENG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
971 MAIN ST, SUITE D, HOLBROOK, NY 11741-1609
(631) 471-0600
Mailing address
971 MAIN ST, SUITE D, HOLBROOK, NY 11741-1609

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV007576
NY

Other

Enumeration date
07/09/2010
Last updated
05/11/2012
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