Individual
JULIE SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
551 5TH AVE, NEW YORK, NY 10176-3373
(212) 791-4000
Mailing address
551 5TH AVE, NEW YORK, NY 10176-3373
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
27OA00664300
NJ
152W00000X
Optometrist
Primary
TUV008375-1
NY
Other
Enumeration date
11/04/2015
Last updated
04/04/2016
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