Individual
SOPHIA YU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
764 MANHATTAN AVE, BROOKLYN, NY 11222-2967
(718) 349-8313
Mailing address
3162 29TH ST APT 4N, ASTORIA, NY 11106-3372
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
006483
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02423238
—
NY
Enumeration date
09/15/2006
Last updated
07/08/2007
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