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Dr. Jeffrey Daniel Enos, O.D.

Optometrist in Flushing, NY. Individual provider (NPI-1).

NPI number1982198602
StatusActive
Last updated in NPPESJun 16, 2018

Details

NPI
1982198602
Entity type
Individual (NPI-1)
Name
Dr. Jeffrey Daniel Enos
Credential
O.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jun 16, 2018
Last updated
Jun 16, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist008782NYYes

Practice location

4161 Kissena Blvd Ste 24
Flushing, NY 11355-3105

Phone 718-539-4010

Mailing address

3612 28th Ave Apt 3r
Astoria, NY 11103-4549

Phone 909-969-4920

Other practice locations

3612 28th Ave Apt 3r
Astoria, NY 11103-4549

Phone 909-969-4920

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