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Individual

SANDRA IRENE TENZER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
455 E 149TH ST, BRONX, NY 10455-1314
(718) 292-2002
Mailing address
9602 57TH AVE APT 7F, CORONA, NY 11368-3427
(347) 300-7435

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
009166
NY

Other

Enumeration date
06/10/2020
Last updated
07/16/2020
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