Individual
DR. SANDRA PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
8407 ROOSEVELT AVE, JACKSON HEIGHTS, NY 11372-7340
(718) 651-2020
(718) 651-2034
Mailing address
8407 ROOSEVELT AVE, JACKSON HEIGHTS, NY 11372-7340
(718) 651-2020
(718) 651-2034
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010174
IL
Other
Enumeration date
10/24/2008
Last updated
11/03/2020
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