Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 56007597 | NY |
NPI | 1003049040 |
---|---|
Provider Name | Dr. Irida Llambiri |
First Address | Brooklyn, NY 11215-2034 |
Second Address | Brooklyn, NY 11215-2034 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/08/2009 |
Last Update Date | 08/06/2015 |