Organization
NORTH SHORE SOUTHOLD MEDICAL AND SURGICAL EYE CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY MARTIN (OWNER)
(631) 265-8780
Entity
Organization
Contact information
Practice address
41705 COUNTY ROAD 48, SOUTHOLD, NY 11971-5016
(631) 265-8780
(631) 265-8521
Mailing address
41705 COUNTY ROAD 48, SOUTHOLD, NY 11971-5016
(631) 265-8780
(631) 265-8521
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
06/20/2013
Last updated
06/20/2013
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