GANT SOOHOO, OPTICAN

OPTICAN

Optician

NPI: 1326165812Individual

Specialties, Licenses & Credentials

OpticianPrimary

Technician/Technologist — Optician

Code: 156FX1800X

4191(NY)

Contact & Hours

Address: 601 PORTION RD STE 14
RONKONKOMA, NY 11779
Phone: (631) 648-9488

Quick Facts

NPI: 1326165812
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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