# BAY RIDGE OPHTHALMOLOGY PLLC

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

## Provider details

- **NPI number:** 1811302888
- **Authorized official:** DR. CHITRA RADHAKRISHNAN M.D. (OWNER)
- **Authorized official phone:** (631) 827-7563

## Contact information

- **Practice address:** 9201 4TH AVE, SUITE 501, BROOKLYN, NY 11209-7065
- **Practice address phone:** (718) 921-2500
- **Practice address fax:** (718) 238-2558
- **Mailing address:** 9201 4TH AVE, SUITE 501, BROOKLYN, NY 11209-7065
- **Mailing address phone:** (718) 921-2500
- **Mailing address fax:** (718) 238-2558

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 244377-1 | NY | Yes |

## Other

- **Enumeration date:** 06/27/2014
- **Last updated:** 06/27/2014