Organization
GREATER NEW YORK OPHTHALMOLOGY CARE, PLLC
Active
Organization
GREATER NEW YORK OPHTHALMOLOGY CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN FATEH MASON M.D. (MEMBER)
(718) 490-6522
Entity
Organization
Contact information
Practice address
4141 51ST ST, WOODSIDE, NY 11377-4431
(718) 505-0100
(717) 505-0101
Mailing address
4141 51ST ST, WOODSIDE, NY 11377-4431
(718) 505-0100
(717) 505-0101
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
224032
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02802091
—
NY
01
—
07759
MEDICARE
NY
01
—
1356390488
NPI
NY
Enumeration date
07/18/2007
Last updated
07/18/2007
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