Organization
BRONX OPHTHALMOLOGIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENE MATUSOW M.D. (PRESIDENT/OWNER)
(914) 654-6543
Entity
Organization
Contact information
Practice address
4422 3RD AVE, BRONX, NY 10457-2545
(914) 654-6543
Mailing address
4422 3RD AVE, BRONX, NY 10457-2545
(914) 654-6543
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
207W00000X
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02128009
—
NY
Enumeration date
03/05/2007
Last updated
06/24/2008
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