Individual
DR. MITALI SANGHANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
79 MIDDLEVILLE RD, OPTOMETRY SERVICE 123, NORTHPORT, NY 11768-2200
(631) 261-4400
Mailing address
79 MIDDLEVILLE RD, OPTOMETRY SERVICE 123, NORTHPORT, NY 11768-2200
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV008165-1
NY
Other
Enumeration date
07/01/2014
Last updated
07/01/2014
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