Individual
DR. ROA FATHI AL-ABDALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD, MS
Contact information
Practice address
714 W 181ST ST, NEW YORK, NY 10033-4702
(212) 517-0999
Mailing address
220 9TH ST APT 2, FAIRVIEW, NJ 07022-2332
(201) 654-5040
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV008870
NY
152WC0802X
Corneal and Contact Management Optometrist
TUV008870
NY
152WL0500X
Low Vision Rehabilitation Optometrist
TUV008870
NY
152WP0200X
Pediatric Optometrist
TUV008870
NY
152WV0400X
Vision Therapy Optometrist
TUV008870
NY
152WX0102X
Occupational Vision Optometrist
TUV008870
NY
Other
Enumeration date
08/26/2018
Last updated
01/09/2021
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