Miss Angela V Dussan, OD | |
1016 50th Ave, Long Island City, NY 11101-6273 | |
(516) 792-6901 | |
Not Available |
Full Name | Miss Angela V Dussan |
---|---|
Gender | Female |
Speciality | Optometry |
Experience | 14 Years |
Location | 1016 50th Ave, Long Island City, New York |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205115474 | NPI | - | NPPES |
1205115474 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 007777 (New York) | Secondary |
152WC0802X | Optometrist - Corneal And Contact Management | 007777 (New York) | Primary |
Provider Name | A Dussan Services Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1831759810 PECOS PAC ID: 5395072599 Enrollment ID: O20190812000469 |
Mailing Address | Practice Location Address |
---|---|
Miss Angela V Dussan, OD 1016 50th Ave, Long Island City, NY 11101-6273 Ph: (516) 792-6901 | Miss Angela V Dussan, OD 1016 50th Ave, Long Island City, NY 11101-6273 Ph: (516) 792-6901 |
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