Organization
MA EYE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAIYIN MA MD (MEDICAL DIRECTOR)
(929) 533-1633
Entity
Organization
Contact information
Practice address
3616 MAIN ST FL 9, FLUSHING, NY 11354-4105
(929) 533-1633
Mailing address
3616 MAIN ST FL 9, FLUSHING, NY 11354-4105
(929) 533-1633
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
261QS0132X
Ophthalmologic Surgery Clinic/Center
—
—
Other
Enumeration date
09/12/2022
Last updated
08/22/2023
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