Individual
DR. RAJ VAIDYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
16413 JAMAICA AVE, JAMAICA, NY 11432-4913
(929) 218-7155
(929) 218-7157
Mailing address
3525 170TH ST, FLUSHING, NY 11358-1823
(929) 260-9982
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
009839
NY
Other
Enumeration date
06/05/2023
Last updated
06/30/2023
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