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Organization
RETINA SPECIALISTS OF NEW YORK, PLLC
Active
Organization
RETINA SPECIALISTS OF NEW YORK, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE CONDAX MD (SECRETARY)
(718) 539-6000
Entity
Organization
Contact information
Practice address
17017 NORTHERN BLVD, FLUSHING, NY 11358-2709
(718) 539-6000
(718) 539-4021
Mailing address
17017 NORTHERN BLVD, FLUSHING, NY 11358-2709
(718) 539-6000
(718) 539-4021
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
207WX0107X
Retina Specialist (Ophthalmology) Physician
—
NULL
207WX0107X
Retina Specialist (Ophthalmology) Physician
—
—
Other
Enumeration date
04/04/2025
Last updated
04/04/2025
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