# LONG ISLAND EYE SURGEONS, PC

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

## Provider details

- **NPI number:** 1699892976
- **Authorized official:** MRS. TRACEY A ORTIZ (ADMINISTRATOR)
- **Authorized official phone:** (516) 627-5113

## Contact information

- **Practice address:** 2110 NORTHERN BLVD, SUITE 208, MANHASSET, NY 11030-3502
- **Practice address phone:** (516) 627-5113
- **Practice address fax:** (516) 365-2817
- **Mailing address:** 2110 NORTHERN BLVD, SUITE 208, MANHASSET, NY 11030-3502
- **Mailing address phone:** (516) 627-5113
- **Mailing address fax:** (516) 365-2817

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 109382 | NY | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 03/23/2007
- **Last updated:** 01/27/2009
