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Organization
OPHTHALMIC CONSULTANT OF NEW YORK, PLLC
Active
Organization
OPHTHALMIC CONSULTANT OF NEW YORK, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKOLA RAGUSA MD (PRESIDENT)
(718) 757-0564
Entity
Organization
Contact information
Practice address
2104 30TH AVE, ASTORIA, NY 11102-3332
(718) 757-0564
Mailing address
2532 47TH ST, ASTORIA, NY 11103-1109
(718) 757-0564
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
05/26/2021
Last updated
09/09/2021
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