| A Dussan Services Llc | |
|
1016 50th Ave, Long Island City, NY 11101-6273 | |
| (516) 792-6901 | |
| Not Available |
| Full Name | A Dussan Services Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1016 50th Ave, Long Island City, New York |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831759810 | NPI | - | NPPES |
| 03487065 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Angela V Dussan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1205115474 PECOS PAC ID: 4183866874 Enrollment ID: I20130808000524 |
| Mailing Address | Practice Location Address |
|---|---|
| A Dussan Services Llc 1016 50th Ave, Long Island City, NY 11101-6273 Ph: (516) 792-6901 | A Dussan Services Llc 1016 50th Ave, Long Island City, NY 11101-6273 Ph: (516) 792-6901 |
Miss Angela V Dussan, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 1016 50th Ave, Long Island City, NY 11101 Phone: 516-792-6901 | |
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