person
Mr. Gant Gilbert Soohoo, OPTICAN
Optician in Ronkonkoma, New York
NPI 1326165812

Gant Gilbert Soohoo is a Optician based in Ronkonkoma, NY and is specialized in Optician. Gant Gilbert Soohoo practices in Ronkonkoma, NY and has the professional credentials of OPTICAN. The NPI Number for Gant Gilbert Soohoo is 1326165812 and holds a License No. 4191 (New York).

The current practice location address for Gant Gilbert Soohoo is 601 Portion Rd Ste 14, Ronkonkoma, NY and can be reached out via phone at 631-648-9488 and via fax at 631-648-9487.

Location: 601 Portion Rd Ste 14, Ronkonkoma, NY, 11779-4584
person
Provider Profile Details
NPI Number
1326165812
Provider Name
Gant Gilbert Soohoo
Credential
OPTICAN
Provider Entity Type
Individual
Gender
Male
Address
601 Portion Rd Ste 14, Ronkonkoma, NY, 11779-4584
Phone Number
631-648-9488
Fax Number
631-648-9487
Provider Enumeration Date
03/22/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
601 Portion Rd Ste 14
City
State
Zip
11779-4584
Phone Number
631-648-9488
Fax Number
631-648-9487
person
Provider Business Mailing Address Details
Address
601 Portion Rd Ste 14
City
State
Zip
11779-4584
Phone Number
631-648-9488
Fax Number
631-648-9487
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
4191 (New York)
Definition
Definition to come...
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