Individual
DR. ANNIE WAN
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) 938-4001
Mailing address
33 W 42ND ST, NEW YORK, NY 10036-8005
(212) 938-4001
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
TUV007882
NY
390200000X
Student in an Organized Health Care Education/Training Program
Primary
TUV007882
NY
Other
Enumeration date
07/07/2012
Last updated
07/09/2012
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