# ASSOCIATED EYE MEDICAL PLLC

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

## Provider details

- **NPI number:** 1366738080
- **Authorized official:** DR. JOHN KHADEM MD (OWNER)
- **Authorized official phone:** (212) 604-9800

## Contact information

- **Practice address:** 36 7TH AVE, SUITE 422, NEW YORK, NY 10011-6609
- **Practice address phone:** (212) 604-9800
- **Practice address fax:** (212) 242-4757
- **Mailing address:** 36 7TH AVE, SUITE 422, NEW YORK, NY 10011-6609
- **Mailing address phone:** (212) 604-9800
- **Mailing address fax:** (212) 242-4757

## Taxonomy

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

## Other

- **Enumeration date:** 06/21/2011
- **Last updated:** 06/21/2011