Individual
CHUNG YONG SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
901 SIXTH AVENUE, HERALD SQUARE OPTOMETRIC ASSOCIATES PC, NEW YORK CITY, NY 10001
(212) 967-4177
(212) 967-2101
Mailing address
1323 ECHO HILL PATH, YORKTOWN HEIGHTS, NY 10598
(914) 962-7455
(212) 967-2101
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
VUT005241
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VUT005241
OPTOMETRIC LICENSE
NY
Enumeration date
02/08/2006
Last updated
03/14/2008
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