Individual
MR. JEFFREY OGDEN YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTHALMIC DISPENSER
Contact information
Practice address
34 MARGARET DR, ROOSEVELT, NY 11575-1535
(516) 608-2957
Mailing address
34 MARGARET DR, ROOSEVELT, NY 11575-1535
(516) 608-2957
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
006221-1
NY
Other
Enumeration date
10/28/2010
Last updated
10/28/2010
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