Organization
GOTHAM EYE MEDICAL, P.C.
Active
Other names
New York Ophthalmology
Organization subpart
No
Provider details
NPI number
Authorized official
KEN MOADEL (OWNER)
(212) 490-3937
Entity
Organization
Contact information
Practice address
329 E 149TH ST FL 2, BRONX, NY 10451-5626
(718) 585-5500
(718) 585-5502
Mailing address
329 E 149TH ST FL 2, BRONX, NY 10451-5626
(914) 557-8995
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
242732
NY
Other
Enumeration date
01/31/2014
Last updated
07/27/2026
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