Organization
EYE SURGERY & AESTHETICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NATALIE BORODOKER M.D. (PRESIDENT)
(718) 517-2555
Entity
Organization
Contact information
Practice address
35 COVERLY AVE, STATEN ISLAND, NY 10301-4549
(718) 448-0588
Mailing address
35 COVERLY AVE, STATEN ISLAND, NY 10301-4549
(718) 448-0588
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
229403
NY
Other
Enumeration date
05/13/2008
Last updated
08/20/2010
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