Search › New York › 156FX1800X
Gant Soohoo, OPTICAN
NPI 1326165812 · on the registry since 2007 · sole proprietor
Practice
- Address
- 601 Portion Rd Ste 14
Ronkonkoma, NY 11779 - Phone
- (631) 648-9488
- Fax
- (631) 648-9487
- Organisation at this address
- Icu Optical Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 156FX1800X
156FX1800X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-11-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York