Organization
OPHTHALMOLOGY SPECIALISTS OF NEW YORK LLC
Active
Other names
Vista Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE WILLIAMS (CREDENTIALING CONSULTANT)
(570) 801-1847
Entity
Organization
Contact information
Practice address
10005 ROOSEVELT AVE, CORONA, NY 11368-4880
(787) 366-3090
Mailing address
10005 ROOSEVELT AVE STE 202, CORONA, NY 11368-4880
(917) 832-7557
(917) 832-7503
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
03/28/2017
Last updated
12/12/2018
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