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Organization
OPHTHALMIC CONSULTANTS OF LONG ISLAND
Active
Organization
OPHTHALMIC CONSULTANTS OF LONG ISLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS BURKE (CEO)
(516) 872-8309
Entity
Organization
Contact information
Practice address
3742 73RD ST, JACKSON HEIGHTS, NY 11372-6246
(718) 426-3736
(718) 426-4474
Mailing address
266 MERRICK RD, SUITE 110, LYNBROOK, NY 11563-2640
(516) 872-8309
(516) 872-2182
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
193409
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245271600
NPI GROUP# SUFFOLK
NY
01
—
1285675660
NPI GROUP# NASSAU
NY
Enumeration date
12/01/2006
Last updated
08/22/2020
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