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Organization
MACULA EYE CARE OPHTHALMOLOGY PLLC
Active
Organization
MACULA EYE CARE OPHTHALMOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE EVA GROSS M.D. (FOUNDER/PHYSICIAN)
(610) 636-1879
Entity
Organization
Contact information
Practice address
67 E 78TH ST, 1 C, NEW YORK, NY 10075-0273
(212) 744-2513
(212) 744-4816
Mailing address
157 W 79TH ST, 7 A, NEW YORK, NY 10024-6413
(212) 877-9109
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
072039L
PA
207W00000X
Ophthalmology Physician
Primary
224954
NY
Other
Enumeration date
03/27/2014
Last updated
05/12/2014
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