# JAMES M. MAISEL, M.D., P.L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Retina Group of New York
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215110150
- **Authorized official:** DR. JAMES MARK MAISEL M.D. (MANAGER)
- **Authorized official phone:** (516) 939-6100

## Contact information

- **Practice address:** 400 S OYSTER BAY RD, SUITE 305, HICKSVILLE, NY 11801-3500
- **Practice address phone:** (516) 939-6100
- **Practice address fax:** (516) 939-2510
- **Mailing address:** 400 S OYSTER BAY RD, SUITE 305, HICKSVILLE, NY 11801-3500
- **Mailing address phone:** (516) 939-6100
- **Mailing address fax:** (516) 939-2510

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 138708 | NY | Yes |

## Other

- **Enumeration date:** 12/14/2007
- **Last updated:** 12/14/2007
