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Organization
LASER EYE PRACTICE OF NEW YORK, PLLC
Active
Organization
LASER EYE PRACTICE OF NEW YORK, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH DELLO RUSSO M.D (MEDICAL DIRECTOR)
(212) 722-7629
Entity
Organization
Contact information
Practice address
1755 YORK AVE, NEW YORK, NY 10128-6849
(212) 722-7629
(212) 722-4860
Mailing address
1 N WASHINGTON AVE, BERGENFIELD, NJ 07621-2125
(201) 384-7333
(201) 385-3881
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
091370
NY
Other
Enumeration date
10/24/2007
Last updated
06/19/2008
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