Individual
DAVID REVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1200 SOUTH AVE STE 204, STATEN ISLAND, NY 10314-3420
(646) 206-2142
Mailing address
1200 SOUTH AVE STE 204, STATEN ISLAND, NY 10314-3420
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV006733
NY
Other
Enumeration date
07/21/2006
Last updated
03/26/2021
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