Individual
NOELLE SUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1305 YORK AVE FL 11, NEW YORK, NY 10021-5663
(646) 962-2020
(646) 962-0602
Mailing address
3524 72ND ST APT 6I, JACKSON HEIGHTS, NY 11372-4024
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
60785090
WA
152W00000X
Optometrist
Primary
TUV008276
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03230417
—
NY
Enumeration date
06/23/2015
Last updated
10/11/2023
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