Provider Demographics
NPI:1790897965
Name:BHASIN, MONICA RANI (OD)
Entity Type:Individual
Prefix:DR
First Name:MONICA
Middle Name:RANI
Last Name:BHASIN
Suffix:
Gender:F
Credentials:OD
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Mailing Address - Street 1:1826 COLLEGE POINT BLVD
Mailing Address - Street 2:COLLEGE POINT
Mailing Address - City:COLLEGE POINT
Mailing Address - State:NY
Mailing Address - Zip Code:11356-2221
Mailing Address - Country:US
Mailing Address - Phone:718-359-2834
Mailing Address - Fax:718-539-7252
Practice Address - Street 1:1826 COLLEGE POINT BLVD
Practice Address - Street 2:COLLEGE POINT
Practice Address - City:COLLEGE POINT
Practice Address - State:NY
Practice Address - Zip Code:11356-2221
Practice Address - Country:US
Practice Address - Phone:718-359-2834
Practice Address - Fax:718-539-7252
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2010-10-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYTUV007077152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist