Individual
NIKKI TAKAHASHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7381 S BROADWAY, RED HOOK, NY 12571-1745
(845) 758-8818
(845) 758-9215
Mailing address
7381 S BROADWAY, RED HOOK, NY 12571-1745
(845) 758-8818
(845) 758-9215
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
008753
NY
Other
Enumeration date
06/12/2018
Last updated
06/12/2018
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