Julia Thi Mai, OD | |
1650 Selwyn Avenue, Suite 1c, Bronx, NY 10457 | |
(718) 518-5300 | |
Not Available |
Full Name | Julia Thi Mai |
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Gender | Female |
Speciality | Optometrist |
Location | 1650 Selwyn Avenue, Bronx, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922618321 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 009210 (New York) | Primary |
Provider Name | New York City Health And Hospitals Corporation |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1548208127 PECOS PAC ID: 4183535305 Enrollment ID: O20040322001521 |
Mailing Address | Practice Location Address |
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Julia Thi Mai, OD 1650 Selwyn Avenue, Suite 1c, Bronx, NY 10457 Ph: () - | Julia Thi Mai, OD 1650 Selwyn Avenue, Suite 1c, Bronx, NY 10457 Ph: (718) 518-5300 |
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