Organization
BROOKLYN EYE SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEONARD BLEY M.D. (MANAGING DIRECTOR)
(718) 645-0600
Entity
Organization
Contact information
Practice address
1301 AVENUE J, BROOKLYN, NY 11230-3605
(718) 645-0600
(718) 692-4456
Mailing address
1301 AVENUE J, BROOKLYN, NY 11230-3605
(718) 645-0600
(718) 692-4456
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01621232
—
NY
Enumeration date
08/09/2005
Last updated
10/28/2020
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