# EYE PHYSICIANS AND SURGEONS OF NY, PLLC

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

## Provider details

- **NPI number:** 1366455339
- **Authorized official:** MRS. IRIS A JORDAN R.N., M.S. (OFFICE MANAGER)
- **Authorized official phone:** (718) 834-1976

## Contact information

- **Practice address:** 2177 VICTORY BLVD, STATEN ISLAND, NY 10314-6603
- **Practice address phone:** (718) 494-9055
- **Practice address fax:** (718) 494-3713
- **Mailing address:** 149 PIERREPONT ST, BROOKLYN, NY 11201-2712
- **Mailing address phone:** (718) 834-1976
- **Mailing address fax:** (718) 855-8567

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/14/2006
- **Last updated:** 11/05/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 02501577 | — | NY |