Dr. IVA BASIC --
Individual Provider (NPI-1)
Active
Optometrist
Provider Information
- NPI Number
1720481138- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 4141 51ST ST, WOODSIDE, NY, 113774431
- Phone
- (718) 505-0100
Specialties & Taxonomies
Optometrist
Primary License: NY #008227