Organization
VISTASITE OPTIQUE INC
Active
Other names
Vistasite
Organization subpart
No
Provider details
NPI number
Authorized official
VLADIMIR DVORETSKY OD (OD)
(212) 433-0136
Entity
Organization
Contact information
Practice address
4204 BROADWAY, NEW YORK, NY 10033-3706
(917) 261-6100
(917) 861-6697
Mailing address
4204 BROADWAY, NEW YORK, NY 10033-3706
(917) 261-6100
(917) 861-6697
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
05/02/2018
Last updated
03/15/2021
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