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Organization
LONG ISLAND EYE SURGEONS, PC
Active
Organization
LONG ISLAND EYE SURGEONS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACEY A ORTIZ (ADMINISTRATOR)
(516) 627-5113
Entity
Organization
Contact information
Practice address
2110 NORTHERN BLVD, SUITE 208, MANHASSET, NY 11030-3502
(516) 627-5113
(516) 365-2817
Mailing address
2110 NORTHERN BLVD, SUITE 208, MANHASSET, NY 11030-3502
(516) 627-5113
(516) 365-2817
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
109382
NY
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
Other
Enumeration date
03/23/2007
Last updated
01/27/2009
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