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Organization
GLAUCOMA ASSOCIATES OF NEW YORK PC
Active
Organization
GLAUCOMA ASSOCIATES OF NEW YORK PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELENA ILITCHEV (ADMINISTRATOR)
(212) 477-7540
Entity
Organization
Contact information
Practice address
310 E 14TH ST, SUITE 304 S, NEW YORK, NY 10003-4201
(212) 477-7540
Mailing address
310 E 14TH ST, SUITE 304 S, NEW YORK, NY 10003-4201
(212) 477-7540
(212) 388-1517
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
01/17/2006
Last updated
10/27/2011
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