# GOTHAM LASIK VISION

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

## Provider details

- **NPI number:** 1306260013
- **Authorized official:** DR. BRIAN BONANNI M.D. (DIRECTOR)
- **Authorized official phone:** (212) 581-1280

## Contact information

- **Practice address:** 346 W 57TH ST, NEW YORK, NY 10019-3702
- **Practice address phone:** (212) 581-1280
- **Practice address fax:** (212) 616-9998
- **Mailing address:** 346 W 57TH ST, NEW YORK, NY 10019-3702
- **Mailing address phone:** (212) 581-1280
- **Mailing address fax:** (212) 616-9998

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 211558 | NY | Yes |

## Other

- **Enumeration date:** 02/17/2014
- **Last updated:** 02/17/2014