Organization
OPHTHALMIC CONSULTANTS OF OPHTHALMOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN M KAGAN MD (PRESIDENT)
(212) 570-6300
Entity
Organization
Contact information
Practice address
940 PARK AVE, NEW YORK, NY 10028-0311
(212) 570-6300
(212) 472-4524
Mailing address
940 PARK AVE, NEW YORK, NY 10028-0311
(212) 570-6300
(212) 472-4524
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00203241
—
NY
Enumeration date
04/29/2011
Last updated
04/29/2011
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