Individual
KEVIN DOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
208 FLATBUSH AVE, BROOKLYN, NY 11217-2116
(718) 514-6234
Mailing address
139 E 33RD ST APT 7N, NEW YORK, NY 10016-5318
(978) 609-6527
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV009700-01
NY
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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