Individual
DR. THERESA MARIA RUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
500 W MAIN ST, SUITE210, BABYLON, NY 11702-3027
(631) 957-3355
(631) 991-6703
Mailing address
500 W MAIN ST, SUITE 210, BABYLON, NY 11702-3027
(631) 957-3355
(631) 991-6703
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
VUT006125
NY
Other
Enumeration date
01/04/2007
Last updated
03/14/2016
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