Individual
SHEVANIE LATCHMI JALLIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
26 W MERRITT BLVD, FISHKILL, NY 12524-2243
(845) 896-1310
Mailing address
87 REILLY RD, LAGRANGEVILLE, NY 12540-6120
(845) 392-2592
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV009279-01
NY
Other
Enumeration date
11/03/2020
Last updated
01/01/2025
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