Organization
RETINA INSTITUTE OF NEW YORK, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD GENTILE M.D. (MANAGING MEMBER)
(212) 979-4120
Entity
Organization
Contact information
Practice address
218 SECOND AVE, SUITE 402, NEW YORK, NY 10003-4201
(212) 979-4120
Mailing address
27 SEA CREST DR, LLOYD HARBOR, NY 11743-9765
(212) 979-4120
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
189544
NY
261QR1100X
Research Clinic/Center
189544
NY
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
189544
NY
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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