Organization
TRI-STATE RETINA P.C.
Active
Other names
RETINA CONSULTANTS OF WESTCHESTER
Organization subpart
No
Provider details
NPI number
Authorized official
RAVI RADHAKRISHNAN MD (PRESIDENT)
(914) 699-2020
Entity
Organization
Contact information
Practice address
559 GRAMATAN AVE STE 202, MOUNT VERNON, NY 10552-2156
(914) 699-2020
(914) 699-2019
Mailing address
PO BOX 15, SCARSDALE, NY 10583-0015
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
03/31/2019
Last updated
01/06/2025
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