Individual
VIVIEN JINGYI XU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
6507 18TH AVE, BROOKLYN, NY 11204-3703
(718) 708-5525
(718) 708-5927
Mailing address
6507 18TH AVE, BROOKLYN, NY 11204-3703
(718) 708-5525
(718) 708-5927
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
C009422
NY
Other
Enumeration date
01/28/2014
Last updated
01/28/2014
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