Organization
BAY RIDGE OPHTHALMOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHITRA RADHAKRISHNAN M.D. (OWNER)
(631) 827-7563
Entity
Organization
Contact information
Practice address
9201 4TH AVE, SUITE 501, BROOKLYN, NY 11209-7065
(718) 921-2500
(718) 238-2558
Mailing address
9201 4TH AVE, SUITE 501, BROOKLYN, NY 11209-7065
(718) 921-2500
(718) 238-2558
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
244377-1
NY
Other
Enumeration date
06/27/2014
Last updated
06/27/2014
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