Organization
BROOKLYN OPHTHALMOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL K KHODADADIAN MD (CEO PRESIDENT)
(718) 287-2020
Entity
Organization
Contact information
Practice address
4014 CHURCH AVE, BROOKLYN, NY 11203-2917
(718) 287-2020
(516) 829-2026
Mailing address
18 FRANKLIN PL, GREAT NECK, NY 11023-1229
(718) 287-2020
(718) 287-2026
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
206436
NY
Other
Enumeration date
05/28/2015
Last updated
01/25/2024
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