Organization
QUEENS OPHTHALMOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PANUS ROMSAITONG MD (PRESIDENT)
(718) 380-8050
Entity
Organization
Contact information
Practice address
5115 BEACH CHANNEL DR, FAR ROCKAWAY, NY 11691-1042
(718) 380-8050
(718) 380-5303
Mailing address
440 W BAY DR, LONG BEACH, NY 11561-1838
(718) 380-8050
(718) 380-5303
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02698653
—
NY
Enumeration date
07/01/2006
Last updated
08/31/2010
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