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Organization

VITREORETINAL SURGEONS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VINCENT S REPPUCCI M.D. (MEMBER)
(203) 792-6291
Entity
Organization

Contact information

Practice address
1317 3RD AVE, NEW YORK, NY 10021-2995
(203) 792-6191
(203) 744-3669
Mailing address
65 NORTH ST, DANBURY, CT 06810-5640
(203) 792-6191
(203) 744-3669

Taxonomy

Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001289736
CT
05
01195317
NY
Enumeration date
08/06/2007
Last updated
08/29/2024
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