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Organization
NORTH SHORE HAMPTON MEDICAL AND SURGICAL EYE CARE, P.C.
Active
Organization
NORTH SHORE HAMPTON MEDICAL AND SURGICAL EYE CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAUN ANDERSON (ADMINISTRATOR)
(631) 265-8780
Entity
Organization
Contact information
Practice address
54 COMMERCE AVE, SUITE 6 RIVERHEAD COMMERCE PARK, RIVERHEAD, NY 11901-4454
(631) 265-8780
Mailing address
260 MIDDLE COUNTRY RD, 201, SMITHTOWN, NY 11787-2982
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
231H00000X
Audiologist
—
NULL
231H00000X
Audiologist
—
—
Other
Enumeration date
09/14/2011
Last updated
09/14/2011
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