Individual
JENNY MA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25121 NORTHERN BLVD, LITTLE NECK, NY 11362-1354
(917) 701-2211
Mailing address
25121 NORTHERN BLVD, LITTLE NECK, NY 11362-1354
(917) 701-2211
Taxonomy
Speciality
Code
Description
License number
State
156FX1100X
Ophthalmic Technician/Technologist
Primary
—
—
156FX1101X
Ophthalmic Assistant
—
—
Other
Enumeration date
09/18/2020
Last updated
09/18/2020
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