Organization
EYE SPECIALISTS OF NEW YORK, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN LOPEZ (ADMINISTRATOR)
(787) 624-4474
Entity
Organization
Contact information
Practice address
10005 ROOSEVELT AVE STE 202, CORONA, NY 11368-4880
(917) 832-7557
(917) 832-7503
Mailing address
10005 ROOSEVELT AVE STE 202, CORONA, NY 11368-4880
(917) 832-7557
(917) 832-7503
Taxonomy
Speciality
Code
Description
License number
State
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
Primary
266984
NY
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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