AVA LOUISE KOCH

RIVERHEAD, NY
NPI1275143075
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: NY  009217)
Enumeration Date2020-08-06
Last Update Date2020-08-06
Business Address
AVA LOUISE KOCH OD
887 OLD COUNTRY RD STE G-KL
RIVERHEAD, NY 11901-2115
Phone number: 631-727-2858
Mailing Address
AVA LOUISE KOCH OD
44 ROOSEVELT ST
GLEN HEAD, NY 11545-1422
Phone number: 516-236-8538