Organization
SOUTH SHORE OPHTHALMOLOGY,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM HARRY BOOCKVAR MD (PRESIDENT)
(516) 374-1122
Entity
Organization
Contact information
Practice address
1175 W BROADWAY, SUITE 25, HEWLETT, NY 11557-1922
(516) 374-1122
(516) 374-1025
Mailing address
1175 W BROADWAY, SUITE 25, HEWLETT, NY 11557-1922
(516) 374-1122
(516) 374-1025
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
02/26/2007
Last updated
04/17/2008
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