Organization
LASER EYE PRACTICE ON LONG ISLAND, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY STANLEY DELLO RUSSO M.D (MEDICAL DIRECTOR)
(201) 384-7333
Entity
Organization
Contact information
Practice address
1979 MARCUS AVE, NEW HYDE PARK, NY 11042-1002
(201) 384-7333
(201) 385-3881
Mailing address
1979 MARCUS AVENUE, LAKE SUCCESS, NY 11042
(201) 384-7333
(201) 385-3881
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
09/30/2008
Last updated
09/30/2008
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