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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