Organization
OPHTHALMIC CONSULTANT OF NEW YORK, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKOLA RAGUSA MD (PRESIDENT)
(718) 757-0564
Entity
Organization
Contact information
Practice address
2104 30TH AVE, ASTORIA, NY 11102-3332
(718) 757-0564
Mailing address
2532 47TH ST, ASTORIA, NY 11103-1109
(718) 757-0564
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
05/26/2021
Last updated
09/09/2021
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