Individual
MIKE GHOSSN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3270 HEMPSTEAD TPKE, LEVITTOWN, NY 11756-1345
(516) 731-5050
(516) 731-4900
Mailing address
20 GLEASON DR, DIX HILLS, NY 11746-6535
(631) 242-9534
(516) 731-4900
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
004407
NY
Other
Enumeration date
03/15/2007
Last updated
12/11/2007
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