Individual
IQRA QUDDUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8511 126TH ST, KEW GARDENS, NY 11415-3312
(718) 849-7773
Mailing address
296 LINCOLN PL, LAWRENCE, NY 11559-1227
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
9462TG
TX
152W00000X
Optometrist
OPT.007326
OH
152W00000X
Optometrist
Primary
TUV008745-1
NY
Other
Enumeration date
06/21/2018
Last updated
07/24/2024
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