Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | TUV0084051 | NY |
NPI | 1013460120 |
---|---|
Provider Name | Kimberly Uy |
First Address | Brooklyn, NY 11206-5316 |
Second Address | Brooklyn, NY 11206-5316 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2016 |
Last Update Date | 18/08/2021 |