Organization
EMPIRE FAMILY OPHTHALMOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WISLY GERALD AUGUSTIN M.D. (PRESIDENT)
(718) 531-6100
Entity
Organization
Contact information
Practice address
100 LIVINGSTON STREET SUITE 3L, BROOKLYN, NY 11201-5127
(929) 295-6616
(929) 295-6594
Mailing address
100 LIVINGSTON STREET SUITE 3L, BROOKLYN, NY 11201-5127
(929) 295-6616
(929) 295-6594
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
235739
NY
Other
Enumeration date
11/02/2010
Last updated
08/03/2021
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