Organization
EYE PHYSICIANS AND SURGEONS OF NY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IRIS A JORDAN R.N., M.S. (OFFICE MANAGER)
(718) 834-1976
Entity
Organization
Contact information
Practice address
2177 VICTORY BLVD, STATEN ISLAND, NY 10314-6603
(718) 494-9055
(718) 494-3713
Mailing address
149 PIERREPONT ST, BROOKLYN, NY 11201-2712
(718) 834-1976
(718) 855-8567
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02501577
—
NY
Enumeration date
08/14/2006
Last updated
11/05/2007
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