Individual
DR. JESSY JAMES VAIDHYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D
Contact information
Practice address
50 E 42ND ST, NEW YORK, NY 10017-5405
(212) 697-1838
(212) 697-0323
Mailing address
114 HILLWOOD LN, PLAINVIEW, NY 11803-3120
(617) 512-0566
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
4704
MA
152W00000X
Optometrist
Primary
TUV007380-1
NY
Other
Enumeration date
12/15/2008
Last updated
05/04/2009
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