Long Island Eye Surgical Care, Pc

NPI 1013006576 - Ophthalmology - 207W00000X

NPI Details
NPI 1013006576
Enumeration Date 10/12/2006
Last Updated 01/10/2011
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JENNIFER JENNIFER
Position CREDENTIALING SPECIALIST
Phone (631) 612-2724
Fax (631) 231-5421
Practice Location
601 SUFFOLK AVE
BRENTWOOD NY, 11717-4309, US
Phone (631) 612-2724
Fax (631) 231-5421
Business Location
601 SUFFOLK AVE
BRENTWOOD NY, 11717-4309, US
Phone (631) 612-2724
Fax (631) 231-5421
Toxanomy
Taxonomy Code 207W00000X
License State New York
License Number 070905000543
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According to our database, Long Island Eye Surgical Care, Pc NPI is 1013006576, taxonomy code is 207W00000X and license number is 070905000543, license state is located at New York. Long Island Eye Surgical Care, Pc physically located at 601 Suffolk Ave, Brentwood NY, 11717-4309. NPI Number 1033115704 has the healthcare provider type.

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1013006576 NPI number is provided on an as is basis without warranty of any kind. 1013006576 is maintained by the National Plan & Provider Enumeration System. The contents of Long Island Eye Surgical Care, Pc are for informational purposes only.