Individual
NEVIN LY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5511 NEW UTRECHT AVE, BROOKLYN, NY 11219-4630
(718) 437-8772
Mailing address
5511 NEW UTRECHT AVE, BROOKLYN, NY 11219-4630
(718) 437-8772
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
011304
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/30/2024
Last updated
09/07/2025
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