Individual
LILY JUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
8002 KEW GARDENS RD, SUITE C-108, KEW GARDENS, NY 11415-3600
(718) 544-2222
Mailing address
8002 KEW GARDENS RD, SUITE C-108, KEW GARDENS, NY 11415-3600
(718) 544-2222
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV004043-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01194641
—
NY
Enumeration date
02/08/2006
Last updated
05/30/2008
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