Individual
DR. RENEE D. YEARWOOD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4422 3RD AVE, 7TH FLOOR, EYE CLINIC, BRONX, NY 10457-2545
(718) 960-6389
Mailing address
13324 SANFORD AVE, APT. 9L, FLUSHING, NY 11355-3650
(718) 445-2103
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV005506
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01484591
—
NY
Enumeration date
03/01/2006
Last updated
07/08/2007
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