Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 008453 | NY |
N | 152W00000X | Optometrist | 15104 | CA |
NPI | 1013316413 |
---|---|
Provider Name | Aya Egger |
First Address | Brooklyn, NY 11205-2414 |
Second Address | Brooklyn, NY 11205-2414 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/08/2014 |
Last Update Date | 18/04/2019 |