Individual
SHARON ITZHAKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9519 63RD DR, REGO PARK, NY 11374-2024
(718) 459-2020
Mailing address
7155 169TH ST, FRESH MEADOWS, NY 11365-3348
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
009620
NY
Other
Enumeration date
07/22/2022
Last updated
07/22/2022
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