Organization
OPHTHALMIC CONSULTANTS OF LONG ISLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BONNIE WRIGHT (CREDENTIALING COORDINATOR)
(516) 804-5200
Entity
Organization
Contact information
Practice address
1700 E JERICHO TPKE, HUNTINGTON, NY 11743-5614
(631) 462-2020
Mailing address
825 E GATE BLVD STE 111, GARDEN CITY, NY 11530-2136
(516) 804-5200
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/27/2017
Last updated
06/26/2019
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