Individual
SADHVIKA VENKAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 POLY PL, BROOKLYN, NY 11209-7104
(718) 836-6600
Mailing address
37624 BLOSSOM LN, FARMINGTON HILLS, MI 48331-1733
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
009906
NY
Other
Enumeration date
05/29/2023
Last updated
05/22/2024
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