Organization
HIGHLAND OPHTHALMOLOGY ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY J INGERSOLL (OFFICE MANAGER)
(845) 562-0138
Entity
Organization
Contact information
Practice address
104 EXECUTIVE DRIVE, SUITE 300, NEW WINDSOR, NY 12553
(845) 562-0138
(845) 562-0147
Mailing address
104 EXECUTIVE DRIVE, SUITE 300, NEW WINDSOR, NY 12553
(845) 562-0138
(845) 562-0147
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02773480
—
NY
Enumeration date
11/14/2006
Last updated
04/21/2017
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