| |
755 Park Avenue, Suite 100, Huntington, NY 11743-3972 | |
(631) 223-0400 | |
(631) 421-2689 |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 755 Park Avenue, Huntington, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720019565 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | 166763-1 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
755 Park Avenue, Suite 100, Huntington, NY 11743-3972 Ph: (631) 223-0400 | 755 Park Avenue, Suite 100, Huntington, NY 11743-3972 Ph: (631) 223-0400 |