Individual
DR. CAROLYN ROSEMARY POWELL-RIVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
664 BAY ST, BAY ST OPTICAL PAVILION, STATEN ISLAND, NY 10304-3829
(718) 727-5678
Mailing address
664 BAY ST, BAY ST OPTICAL PAVILION, STATEN ISLAND, NY 10304-3829
(718) 727-5678
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
VUT004813-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01065163
—
NY
Enumeration date
12/16/2005
Last updated
04/01/2008
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