Individual
SIYUN REN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1650 SELWYN AVE APT 1C, BRONX, NY 10457-7628
(718) 960-1397
Mailing address
86 FLEET PL APT 14F, BROOKLYN, NY 11201-7145
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
009569
NY
Other
Enumeration date
07/07/2022
Last updated
07/07/2022
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