Organization
OPTHALMOLOGY ASSOC OF STATIEN ISLAND DBA BRIDGE OPTICIANS
Active
Other names
Bridge Opticians
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS J. GORMLEY M.D. (PRESIDENT)
(718) 447-0022
Entity
Organization
Contact information
Practice address
1460 VICTORY BLVD, STATEN ISLAND, NY 10301-3914
(718) 876-5966
(718) 876-6097
Mailing address
1460 VICTORY BLVD, STATEN ISLAND, NY 10301-3914
(718) 876-5966
(718) 876-6097
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0658870002
PTAN
NY
Enumeration date
03/19/2007
Last updated
03/10/2015
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