Nithya Vemula
Optometrist in Bronx, NY. Individual provider (NPI-1).
NPI number1982452306
StatusActive
Last updated in NPPESSep 4, 2024
Details
- NPI
- 1982452306
- Entity type
- Individual (NPI-1)
- Name
- Nithya Vemula
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 9, 2024
- Certification date
- Sep 4, 2024
- Last updated
- Sep 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | ORT009976 | NY | Yes |
Practice location
3130 Grand ConcourseBronx, NY 10458-1213
Phone 718-741-3200
Mailing address
3130 Grand ConcourseBronx, NY 10458-1213
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