Organization
NEW YORK EYE INSTITUTE AND LASER VISION CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AYMAN Z. MATTA M.D. (SURGEON DIRECTOR)
(845) 692-7066
Entity
Organization
Contact information
Practice address
90 CRYSTAL RUN RD, MIDDLETOWN, NY 10941-7101
(845) 692-7066
Mailing address
90 CRYSTAL RUN RD, MIDDLETOWN, NY 10941-7101
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
215965
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02215396
—
NY
Enumeration date
10/12/2010
Last updated
10/12/2010
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