Individual
MS. AMY VISINTAINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1932 STANHOPE ST, RIDGEWOOD, NY 11385-1236
(917) 620-6051
Mailing address
1932 STANHOPE ST, RIDGEWOOD, NY 11385-1236
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
1739213
NY
Other
Enumeration date
09/30/2010
Last updated
09/30/2010
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