Individual
DR. PAUL PATSALIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6834 3RD AVE, BROOKLYN, NY 11220-5803
(718) 680-3270
(718) 680-4918
Mailing address
6834 3RD AVE, BROOKLYN, NY 11220-5803
(718) 680-3270
(718) 680-4918
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1195
NE
152W00000X
Optometrist
Primary
VUT004810-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01126223
—
NY
Enumeration date
05/30/2005
Last updated
03/17/2020
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