Organization
ORASIS LASER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS NISSIRIOS MD (MEDICAL DIRECTOR)
(718) 504-7378
Entity
Organization
Contact information
Practice address
20020 44TH AVE FL 2, BAYSIDE, NY 11361-2658
(718) 278-2020
Mailing address
20020 44TH AVE FL 2, BAYSIDE, NY 11361-2658
(718) 278-2020
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
261QS0132X
Ophthalmologic Surgery Clinic/Center
—
—
Other
Enumeration date
01/13/2023
Last updated
12/28/2023
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