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Organization

EYECARE BY OPHTHALMOLOGIST, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TUNG T CHU MD (DIRECTOR)
(718) 886-8830
Entity
Organization

Contact information

Practice address
755 NEW YORK AVE, SUITE 307, HUNTINGTON, NY 11743-4240
(718) 886-8830
Mailing address
8130 254TH ST, FLORAL PARK, NY 11004-1438
(718) 886-8830

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
211188
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0498119
GHI
NY
01
107851
GHI HMO
NY
01
211188E16
HEALTH FIRST
NY
01
5666435
FIRST HEALTH
NY
01
71114000050
FIDELIS CARE
NY
01
8H1762
EMPIRE BLUE CROSS/BS
NY
Enumeration date
01/08/2008
Last updated
05/25/2015
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