NPI 1053769141

Soney Tino Siriphone, OD

Practitioner Optometrist Jamaica, NY

Practice location

Address: 9704 Sutphin Blvd, Jamaica, NY 11435-4721
Phone: (718) 657-7088
Fax: (718) 657-7092
Mailing address: 60 Madison Ave, New York, NY 10010-1600

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 008459 (NY)

Other Optometrist providers in New York →

Registry record

NPI: 1053769141
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 May 2016
Record last updated: 9 Jan 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.