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Organization
LASER EYE PRACTICE OF BROOKLYN, PLLC
Active
Organization
LASER EYE PRACTICE OF BROOKLYN, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY STANLEY DELLO RUSSO MD (MEDICAL DIRECTOR)
(201) 384-7333
Entity
Organization
Contact information
Practice address
100 LIVINGSTON ST, BROOKLYN, NY 11201-5023
(718) 254-9263
Mailing address
1 N WASHINGTON AVE, BERGENFIELD, NJ 07621-2125
(201) 384-7333
(201) 384-9915
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
225254
NY
Other
Enumeration date
10/23/2007
Last updated
03/24/2010
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