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Individual

SANIYA SHOAIB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
284 DRIGGS AVE, BROOKLYN, NY 11222-6438
(718) 349-1205
(718) 389-3951
Mailing address
284 DRIGGS AVE, BROOKLYN, NY 11222-6438
(718) 349-1205
(718) 389-3951

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
007541
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A400048997
MEDICARE ID
NY
Enumeration date
07/09/2010
Last updated
10/07/2015
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