DR. Clement Enorense Idehen, O.D

NPI #1700075595 in Ridgewood, New York

Provider Information

NPI Number
1700075595
Entity Type
Individual
Name
DR. Clement Enorense Idehen, O.D
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Optometrist - Corneal and Contact Management
Credential
O.D
Enumeration Date
Oct 17, 2007
Last Updated
Oct 17, 2007

Practice Location

Address
5546 MYRTLE AVE
ZIP Code
11385-3554
Phone
(718) 628-9200

Specialties & Taxonomy Codes

Specialty
Optometrist
Optometrist - Corneal and Contact ManagementCorneal and Contact Management

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