Organization
CENTRAL NASSAU OPTOMETRIC CONSULTANT P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRA GARY GOLDBERG O.D. (PRESIDENT)
(516) 481-2020
Entity
Organization
Contact information
Practice address
112 FULTON AVE, B, HEMPSTEAD, NY 11550-3752
(516) 481-2050
(516) 307-3305
Mailing address
112 FULTON AVE, B, HEMPSTEAD, NY 11550-3752
(516) 481-2050
(516) 307-3305
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV005281-1
NY
Other
Enumeration date
04/30/2009
Last updated
04/30/2009
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