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Organization
LONG ISLAND OPHTHALMOLOGY & EYE SURGERY, P. C.
Active
Organization
LONG ISLAND OPHTHALMOLOGY & EYE SURGERY, P. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER DEMIDENKO DO (MEDICAL DIRECTOR)
(718) 868-8668
Entity
Organization
Contact information
Practice address
1731 SEAGIRT BLVD, FAR ROCKAWAY, NY 11691-4513
(718) 868-8668
(718) 868-8611
Mailing address
1731 SEAGIRT BLVD, FAR ROCKAWAY, NY 11691-4513
(718) 868-8668
(718) 868-8611
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
249146
NY
Other
Enumeration date
08/15/2010
Last updated
10/18/2023
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