Organization
LONG ISLAND OPHTHALMOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK B COOK MD (MD)
(516) 747-4011
Entity
Organization
Contact information
Practice address
305 HILLSIDE AVENUE, WILLISTON PARK, NY 11596-2102
(516) 747-4011
(516) 747-1277
Mailing address
7 FIELDSTONE LANE, OYSTER BAY, NY 11771-3122
(516) 626-3812
(516) 626-3812
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
200226
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01832228
—
NY
Enumeration date
11/13/2006
Last updated
10/07/2011
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