Individual
JULIA THI MAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1650 SELWYN AVENUE, SUITE 1C, BRONX, NY 10457
(718) 518-5300
Mailing address
1650 SELWYN AVENUE, SUITE 1C, BRONX, NY 10457
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
009210
NY
Other
Enumeration date
07/31/2020
Last updated
07/31/2020
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