Individual
SUNYA ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1378 FOREST AVE, STATEN ISLAND, NY 10302-2003
(718) 442-2727
Mailing address
1378 FOREST AVE, STATEN ISLAND, NY 10302-2003
(718) 442-2727
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
27OA00692000
NJ
152W00000X
Optometrist
Primary
TUV009119-01
NY
Other
Enumeration date
08/06/2019
Last updated
12/24/2023
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