Organization
CHILDREN'S OPHTHALMOLOGY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA COULEHAN (PROGRAM MANAGER)
(914) 909-4700
Entity
Organization
Contact information
Practice address
40 SAW MILL RIVER RD, HAWTHORNE, NY 10532-1535
(617) 355-6401
(617) 730-0392
Mailing address
300 LONGWOOD AVE, FEGAN 4, BOSTON, MA 02115-5724
(617) 355-6401
(617) 730-0392
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
04/10/2017
Last updated
01/08/2024
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