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Organization
LONG ISLAND VITREO RETINAL CONSULTANTS
Active
Organization
LONG ISLAND VITREO RETINAL CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNMARIE GAMBA (BILLING MANAGER)
(516) 466-0390
Entity
Organization
Contact information
Practice address
47 COMMERCE DR, SUITE 2, RIVERHEAD, NY 11901-3106
(631) 905-0666
(516) 905-0660
Mailing address
47 COMMERCE DR, SUITE 2, RIVERHEAD, NY 11901-3106
(631) 905-0666
(516) 905-0660
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
09/06/2007
Last updated
09/18/2007
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