Organization
SUNNYSIDE OPTOMETRY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL VARUJAN KALUSTIAN O.D. (PRESIDENT)
(516) 801-6323
Entity
Organization
Contact information
Practice address
4701 QUEENS BLVD, SUITE NUMBER 303, SUNNYSIDE, NY 11104-1600
(516) 801-6323
(888) 314-7302
Mailing address
7 SINCLAIR MARTIN DR, ROSLYN, NY 11576-1184
(516) 801-6323
(888) 314-7302
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T006238
NY
152WC0802X
Corneal and Contact Management Optometrist
T006238
NY
152WL0500X
Low Vision Rehabilitation Optometrist
T006238
NY
152WP0200X
Pediatric Optometrist
T006238
NY
Other
Enumeration date
09/01/2010
Last updated
04/21/2011
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