Individual
JENNIFER RAQUEL SEDAGHATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
45 MAIN STREET, HASTINGS ON HUDSON, NY 10706
(914) 478-0550
Mailing address
9 EDGEWOOD PLACE, GREAT NECK, NY 11024
(516) 884-2316
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
007826
NY
Other
Enumeration date
06/11/2012
Last updated
06/11/2012
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