Organization
LONG ISLAND EYE SURGICAL CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER FARRUGGIO (CREDENTIALING SPECIALIST)
(631) 231-4455
Entity
Organization
Contact information
Practice address
601 SUFFOLK AVE, BRENTWOOD, NY 11717-4309
(631) 231-4455
(631) 257-5098
Mailing address
601 SUFFOLK AVE, BRENTWOOD, NY 11717-4309
(631) 612-2724
(631) 231-5421
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
070905000543
NY
Other
Enumeration date
10/12/2006
Last updated
07/21/2022
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