Organization
RETINA SPECIALIST PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN J KHADEM M.D., M.P.H. (PRESIDENT)
(212) 604-9800
Entity
Organization
Contact information
Practice address
20 W 13TH ST, SUITE 422, NEW YORK, NY 10011-7995
(212) 604-9800
(212) 242-4757
Mailing address
20 W 13TH ST, NEW YORK, NY 10011-7995
(212) 604-9800
(212) 242-4757
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
219303
NY
Other
Enumeration date
06/24/2006
Last updated
03/19/2015
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