Individual
LINA NI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1 SCHOOL ST UNIT 103, GLEN COVE, NY 11542-2529
(516) 686-6294
Mailing address
1 SCHOOL ST UNIT 103, GLEN COVE, NY 11542-2529
(516) 686-6294
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
008435
NY
Other
Enumeration date
07/20/2016
Last updated
08/22/2022
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