Individual
REBECCA CHARLOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D
Contact information
Practice address
33 W 42ND ST, NEW YORK, NY 10036-8005
(212) 938-4000
Mailing address
3106 42ND ST, APT 12A, ASTORIA, NY 11103-3161
(201) 819-9829
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
008449
NY
Other
Enumeration date
06/23/2016
Last updated
06/23/2016
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