Organization
ROSLYN VILLAGE VISION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUILLERMO GILBERTO GALLARDO M.D. (DOCTOR/OWNER)
(516) 629-6200
Entity
Organization
Contact information
Practice address
1390 OLD NORTHERN BLVD, ROSLYN, NY 11576-2127
(516) 629-6200
(516) 801-3885
Mailing address
1390 OLD NORTHERN BLVD, ROSLYN, NY 11576-2127
(516) 629-6200
(516) 801-3885
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
197574-1
NY
Other
Enumeration date
01/30/2012
Last updated
01/30/2012
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