Individual
JESSICA GARDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OPTOMETRIST
Contact information
Practice address
485 ROUTE 1 S BLDG A, ISELIN, NJ 08830-3009
(732) 750-0400
Mailing address
14 HOMMELL ST S, VALLEY STREAM, NY 11580-2333
(516) 528-5163
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
008684
NY
152W00000X
Optometrist
Primary
27OA00676600
NJ
Other
Enumeration date
02/18/2018
Last updated
02/18/2018
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