Organization
WOODMERE OPHTHALMOLOGY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE A. MAZOR M.D. (PRESIDENT)
(515) 569-2020
Entity
Organization
Contact information
Practice address
150 IRVING PL, WOODMERE, NY 11598-1245
(516) 569-2020
Mailing address
150 IRVING PL, WOODMERE, NY 11598-1245
(516) 569-2020
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
109481
NY
Other
Enumeration date
07/13/2011
Last updated
03/24/2017
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