Individual
DR. JEFFREY DANIEL ENOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4161 KISSENA BLVD STE 24, FLUSHING, NY 11355-3105
(718) 539-4010
Mailing address
3612 28TH AVE APT 3R, ASTORIA, NY 11103-4549
(909) 969-4920
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
008782
NY
Other
Enumeration date
06/16/2018
Last updated
06/16/2018
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