# NORTHEAST EYE SURGEONS PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245660075
- **Authorized official:** ALLEN B YEROUSHALMI M. D. (M. D/PART OWNER)
- **Authorized official phone:** (855) 876-2020

## Contact information

- **Practice address:** 920 REVOLUTION ST, HAVRE DE GRACE, MD 21078-3748
- **Practice address phone:** (855) 876-2020
- **Practice address fax:** (302) 734-1921
- **Mailing address:** 920 REVOLUTION ST, HAVRE DE GRACE, MD 21078-3748
- **Mailing address phone:** (855) 876-2020
- **Mailing address fax:** (302) 734-1921

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | D76762 | MD | Yes |

## Other

- **Enumeration date:** 11/14/2013
- **Last updated:** 11/20/2013