Individual
MISS LAURA FONG BERZINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
240 E 46TH ST, APT 9G, NEW YORK, NY 10017-2956
(714) 757-0404
Mailing address
755 61ST ST, BROOKLYN, NY 11220-4211
(718) 680-8881
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
007909
NY
Other
Enumeration date
08/08/2012
Last updated
03/06/2018
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