Individual
MOMINA AHMED SHAIKH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
51 E PROSPECT AVE, MOUNT VERNON, NY 10550-2225
(914) 721-5072
Mailing address
133 HILLSIDE PL APT 2A, EASTCHESTER, NY 10709-3130
(630) 965-5197
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV009277-01
NY
Other
Enumeration date
12/17/2020
Last updated
12/17/2020
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