Individual
DR. MARWAN Y KASSIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
668 E TREMONT AVE, BRONX, NY 10457-4929
(718) 887-9475
Mailing address
8915 209TH ST FL 1, QUEENS VILLAGE, NY 11427-2222
(347) 294-9853
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
009401
NY
Other
Enumeration date
07/23/2021
Last updated
07/23/2021
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