Individual
EVA JIA WEN QIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2094 ALBANY POST ROAD, OPTOMETRY 620-123, MONTROSE, NY 10548-0100
(914) 737-4400
Mailing address
21 FREDETTE RD, NEWTON, MA 02459-3704
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ORT009968-01
NY
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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