Individual
KIMBERLY MATSUO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14 PENN PLZ, STE 408, NEW YORK, NY 10122-0049
(212) 237-3012
Mailing address
14 PENN PLZ, STE 408, NEW YORK, NY 10122-0049
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV007592-1
NY
Other
Enumeration date
07/19/2010
Last updated
06/23/2016
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