Healthcare Provider Details

I. General information

NPI: 1548325517
Provider Name (Legal Business Name): ABAID AND PATSALIS O.D. P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/27/2006
Last Update Date: 03/17/2020
Certification Date: 03/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6834 3RD AVE
BROOKLYN NY
11220-5803
US

IV. Provider business mailing address

6834 3RD AVE
BROOKLYN NY
11220-5803
US

V. Phone/Fax

Practice location:
  • Phone: 718-680-3270
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: DR. PAUL PATSALIS
Title or Position: PRESIDENT
Credential: O.D.
Phone: 917-721-0928