Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | TUV008154 | NY |
NPI | 1013325331 |
---|---|
Provider Name | Dr. Jonathan Chiou |
First Address | Manhasset, NY 11030-1617 |
Second Address | New York, NY 10065-8143 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/07/2014 |
Last Update Date | 30/07/2014 |