Organization
NYC RETINA SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER KWAN (OFFICE ASSISTANT)
(718) 866-3150
Entity
Organization
Contact information
Practice address
10721 QUEENS BLVD STE 9, FOREST HILLS, NY 11375-4451
(718) 285-7585
Mailing address
10721 QUEENS BLVD STE 9, FOREST HILLS, NY 11375-4451
(718) 285-7585
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
261QS0132X
Ophthalmologic Surgery Clinic/Center
—
—
Other
Enumeration date
04/18/2022
Last updated
07/25/2023
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