# BAY RIDGE EYE & RETINA SPECIALIST

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- **Entity:** Organization
- **Status:** Active
- **Other names:** New York Eye & Retina Specialist, P.C.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306022652
- **Authorized official:** SAMER A. KHOSROF MD (PRESIDENT)
- **Authorized official phone:** (347) 733-5780

## Contact information

- **Practice address:** 333 86TH ST, SUITE 1B, BROOKLYN, NY 11209-5057
- **Practice address phone:** (718) 630-1010
- **Practice address fax:** (718) 630-1020
- **Mailing address:** 333 86TH ST, SUITE 1B, BROOKLYN, NY 11209-5057
- **Mailing address phone:** (718) 630-1010
- **Mailing address fax:** (718) 630-1020

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 241115 | NY | Yes |

## Other

- **Enumeration date:** 01/17/2008
- **Last updated:** 12/12/2023