Organization
LASER EYE PRACTICE ON LONG ISLAND, PLLC
Active
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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