# BROOKLYN EYE PLASTICS MD PLLC

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

## Provider details

- **NPI number:** 1801220256
- **Authorized official:** CHANEVE JEANNITON M.D. (PRESIDENT/ OWNER)
- **Authorized official phone:** (718) 960-6389

## Contact information

- **Practice address:** 115 PROSPECT PARK W, BROOKLYN, NY 11215-3710
- **Practice address phone:** (718) 960-6389
- **Mailing address:** 115 PROSPECT PARK W, BROOKLYN, NY 11215-3710
- **Mailing address phone:** (718) 960-6389

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 260895 | NY | Yes |

## Other

- **Enumeration date:** 08/21/2013
- **Last updated:** 11/05/2013