Organization
GOTHAM LASIK VISION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN BONANNI M.D. (DIRECTOR)
(212) 581-1280
Entity
Organization
Contact information
Practice address
346 W 57TH ST, NEW YORK, NY 10019-3702
(212) 581-1280
(212) 616-9998
Mailing address
346 W 57TH ST, NEW YORK, NY 10019-3702
(212) 581-1280
(212) 616-9998
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
211558
NY
Other
Enumeration date
02/17/2014
Last updated
02/17/2014
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