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Organization

GLAUCOMA ASSOCIATES OF NEW YORK PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ELENA ILITCHEV (ADMINISTRATOR)
(212) 477-7540
Entity
Organization

Contact information

Practice address
310 E 14TH ST, SUITE 304 S, NEW YORK, NY 10003-4201
(212) 477-7540
Mailing address
310 E 14TH ST, SUITE 304 S, NEW YORK, NY 10003-4201
(212) 477-7540
(212) 388-1517

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary

Other

Enumeration date
01/17/2006
Last updated
10/27/2011
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