Individual
DR. JYOTSNA JAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2260 VICTORY BLVD, STATEN ISLAND, NY 10314-6622
(718) 448-1622
(718) 448-7906
Mailing address
2260 VICTORY BLVD, STATEN ISLAND, NY 10314-6622
(718) 448-1622
(718) 448-7906
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV-005604-1
NY
152W00000X
Optometrist
VUT005604-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01525364
—
NY
01
—
VUTOO5604-1
LICENCE NUMBER NY
NY
Enumeration date
02/26/2007
Last updated
09/25/2019
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