Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 009446 | NY |
NPI | 1013589795 |
---|---|
Provider Name | Timothy H Oh |
First Address | New York, NY 10016-5307 |
Second Address | New York, NY 10012-5403 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2021 |
Last Update Date | 23/08/2021 |