Organization
SOUTH OCEAN OPHTHALMOLOGY PC
Active
Other names
Melchor Garcia Jr MD PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRACE GARCIA LESSING MD (PRESIDENT)
(631) 289-0001
Entity
Organization
Contact information
Practice address
260 PATCHOGUE YAPHANK RD, SUITE A, EAST PATCHOGUE, NY 11772-4886
(631) 289-0001
(631) 758-2958
Mailing address
260 PATCHOGUE YAPHANK RD, SUITE A, EAST PATCHOGUE, NY 11772-4886
(631) 289-0001
(631) 758-2958
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
114521
NY
207W00000X
Ophthalmology Physician
Primary
204125
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00430722
—
NY
05
—
02075203
—
NY
Enumeration date
03/24/2008
Last updated
11/02/2011
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