Organization
CURTIS OPHTHALMOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEODORE H CURTIS MD (OWNER)
(607) 239-5460
Entity
Organization
Contact information
Practice address
300 MAIN ST, SUITE1, VESTAL, NY 13850-1545
(607) 239-5460
(607) 239-5465
Mailing address
300 MAIN ST, SUITE 1, VESTAL, NY 13850-1545
(607) 239-5460
(607) 239-5465
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
259317
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000663780
GHI-HMO
—
05
—
03401952
—
NY
01
—
259317
LICENSE
NY
01
—
4401346
MVP
—
Enumeration date
10/19/2011
Last updated
03/22/2012
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