Organization
CONEY ISLAND FAMILY EYECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL PATSALIS (PRESIDENT)
(917) 721-0928
Entity
Organization
Contact information
Practice address
528 NEPTUNE AVE, BROOKLYN, NY 11224-4004
(718) 996-5323
Mailing address
528 NEPTUNE AVE, BROOKLYN, NY 11224-4004
(718) 996-5323
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4810
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01757079
—
NY
Enumeration date
12/29/2006
Last updated
01/06/2012
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