DR. Brian Stephen Cornwall, OD
NPI #1275693624 in Fresh Meadows, New York
Provider Information
- NPI Number
- 1275693624
- Entity Type
- Individual
- Name
- DR. Brian Stephen Cornwall, OD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Optometrist
- Credential
- OD
- Enumeration Date
- Dec 8, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 6130A 190TH ST
- City
- Fresh Meadows
- State
- New York
- ZIP Code
- 11365-2721
- Phone
- (718) 454-8484
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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