# LONG ISLAND OPHTHALMOLOGY PC

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

## Provider details

- **NPI number:** 1669543229
- **Authorized official:** DR. JACK B COOK MD (MD)
- **Authorized official phone:** (516) 747-4011

## Contact information

- **Practice address:** 305 HILLSIDE AVENUE, WILLISTON PARK, NY 11596-2102
- **Practice address phone:** (516) 747-4011
- **Practice address fax:** (516) 747-1277
- **Mailing address:** 7 FIELDSTONE LANE, OYSTER BAY, NY 11771-3122
- **Mailing address phone:** (516) 626-3812
- **Mailing address fax:** (516) 626-3812

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 200226 | NY | Yes |

## Other

- **Enumeration date:** 11/13/2006
- **Last updated:** 10/07/2011