Individual
BRIAN LUDWIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3 DANIEL WAY, SETAUKET, NY 11733-3054
(631) 832-7337
(888) 747-6545
Mailing address
3 DANIEL WAY, SETAUKET, NY 11733-3054
(631) 832-7337
(888) 747-6545
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV008113-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04022648
—
NY
Enumeration date
06/11/2014
Last updated
04/30/2024
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