Organization
A DUSSAN SERVICES LLC
Active
Other names
A DUSSAN SERVICES LLC, Dussan eye care
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA DUSSAN OD (OPTOMETRIST)
(347) 242-3884
Entity
Organization
Contact information
Practice address
1016 50TH AVE, LONG ISLAND CITY, NY 11101-6273
(516) 792-6901
Mailing address
1016 50TH AVE, LONG ISLAND CITY, NY 11101-6273
(516) 792-6901
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03487065
—
NY
Enumeration date
06/20/2019
Last updated
08/28/2019
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