Organization
NEW VISION OPHTHALMOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEON FUTORAN M.D. (P.C.HOLDER)
(718) 265-9900
Entity
Organization
Contact information
Practice address
493 BEACH 20TH ST, FAR ROCKAWAY, NY 11691-3621
(718) 265-9900
(718) 265-9219
Mailing address
PO BOX 462, ROSLYN HEIGHTS, NY 11577-0462
(718) 265-9900
(718) 265-9219
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
206985
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07420
GHI MEDICARE
NY
Enumeration date
11/15/2007
Last updated
11/15/2007
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