SUNYA ALI
Individual Provider (NPI-1)
Active
Optometrist
Provider Information
- NPI Number
1568017689- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1378 FOREST AVE, STATEN ISLAND, NY, 103022003
- Phone
- (718) 442-2727
Specialties & Taxonomies
Optometrist
License: NJ #27OA00692000
Optometrist
Primary License: NY #tuv009119-01