Individual
DR. GWEN APRIL HAUSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
SHADES OF GRAHAM, 2 GRAHAM AVE, BROOKLYN, NY 11206
(718) 963-1177
(718) 963-3511
Mailing address
208 EAST BROADWAY #J1203, NEW YORK, NY 10002
(917) 297-8031
(212) 228-8841
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV005742
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01755893
—
NY
Enumeration date
12/15/2006
Last updated
07/08/2007
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