Organization
STATEN ISLAND OPHTHALMOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN S KUNG M.D. (OWNER)
(718) 948-8880
Entity
Organization
Contact information
Practice address
23 OCEANIC AVE, STATEN ISLAND, NY 10312-6511
(718) 948-8880
(718) 967-6040
Mailing address
23 OCEANIC AVE, STATEN ISLAND, NY 10312-6511
(718) 948-8880
(718) 967-6040
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W4V841
MEDICARE PTAN
NY
Enumeration date
08/03/2006
Last updated
01/08/2024
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