Woodside Vision INC

NPI #1083249809 in Woodside, New York

Provider Information

NPI Number: 1083249809
Entity Type: Organization
Organization Name: Woodside Vision INC
Primary Specialty: Optometrist
Enumeration Date: Mar 12, 2020
Last Updated: Mar 12, 2020

Practice Location

Address: 5311 BROADWAY
City: Woodside
State: New York
ZIP Code: 11377-1730
Phone: (718) 255-1040

Authorized Official

Name: PAOLA JELENA BURBURAN, OD
Title: OPTOMETRIST
Phone: (718) 255-1040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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