Individual
NA LA SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
192 SUMMERHILL RD, EAST BRUNSWICK, NJ 08816-4950
(732) 257-4900
Mailing address
23 OCEANIC AVE, STATEN ISLAND, NY 10312-6511
(718) 948-8880
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
27OA00702300
NJ
152W00000X
Optometrist
Primary
TUV009290-01
NY
Other
Enumeration date
11/30/2020
Last updated
03/09/2021
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