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Shanice King
Optician in Hewlett, New York
NPI 1811541873

Shanice King is a Optician based in Austin, NY and is specialized in Optician. Shanice King practices in Hewlett, NY. The NPI Number for Shanice King is 1811541873 and holds a License No. 009748 (New York).

The current practice location address for Shanice King is 1220 Peninsula Blvd, Hewlett, NY and can be reached out via phone at 516-881-3484.

Location: 1220 Peninsula Blvd, Hewlett, NY, 78753-2658
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811541873
Provider Name
Shanice King
Credential
Provider Entity Type
Individual
Gender
Female
Address
1220 Peninsula Blvd, Hewlett, NY, 78753-2658
Phone Number
516-881-3484
Fax Number
Provider Enumeration Date
07/29/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1220 Peninsula Blvd
City
Hewlett
State
New York
Zip
11557-1200
Phone Number
516-881-3484
Fax Number
person
Provider Business Mailing Address Details
Address
1220 Peninsula Blvd
City
Hewlett
State
New York
Zip
11557-1200
Phone Number
516-881-3484
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
009748 (New York)
Definition
Definition to come...
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