Individual
SUSAN BETH BRUNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
210 WALL ST UNIT A, HUNTINGTON, NY 11743-2092
(631) 271-0550
Mailing address
210 WALL ST UNIT A, HUNTINGTON, NY 11743-2092
(631) 271-0550
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
004032
NY
Other
Enumeration date
03/27/2020
Last updated
03/27/2020
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