Organization
NA MA OPHTHALMOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NA MA MD (PRESIDENT)
(718) 205-3937
Entity
Organization
Contact information
Practice address
41-58 JUDGE STREET, #CM2, ELMHURST, NY 11373
(718) 205-3937
Mailing address
39 KINGS POINT RD, GREAT NECK, NY 11024-1635
(516) 305-7152
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
250375
NY
Other
Enumeration date
08/12/2011
Last updated
08/12/2011
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