Individual
ANDY RUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1430 3RD AVE, NEW YORK, NY 10028-1904
(917) 432-5403
Mailing address
872 67TH ST, BROOKLYN, NY 11220-5706
(646) 309-7264
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
009441
NY
Other
Enumeration date
08/26/2021
Last updated
08/26/2021
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