Individual
DR. JENNY ZHIYUN SHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
217 GRAND ST STE 302, NEW YORK, NY 10013-4396
(212) 965-8883
Mailing address
5812 134TH ST, FLUSHING, NY 11355-5126
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
008656
NY
Other
Enumeration date
07/03/2017
Last updated
07/03/2017
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