BRIAN STEPHEN CORNWALL

FRESH MEADOWS, NY
NPI1275693624
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: NY  4273-1)
Enumeration Date2006-12-08
Last Update Date2007-07-08
Business Address
Dr. BRIAN STEPHEN CORNWALL OD
6130A 190TH ST
FRESH MEADOWS, NY 11365-2721
Phone number: 718-454-8484
Mailing Address
Dr. BRIAN STEPHEN CORNWALL OD
6130A 190TH ST
FRESH MEADOWS, NY 11365-2721
Phone number: 718-454-8484