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General NPI Number Information
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NPI Number | 1699979930
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Entity Type | Organization
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Legal Business Name | METROPOLITAN EYE SURGERY, PC
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Dates
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Enumeration Date | 06/12/2007
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Last Update Date | 12/17/2020
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Provider Practice Location Address
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Address Line | 4207 30TH AVE
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City | ASTORIA
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State | NY
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Zip | 11103-2910
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Country | US
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Telephone | 718-204-6667
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Fax | 718-956-8514
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Provider Business Mailing Address
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Address Line | 4207 30TH AVE
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City | ASTORIA
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State | NY
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Zip | 11103-2910
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Country | US
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Telephone | 718-204-6667
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Fax | 718-956-8514
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Authorized Official
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Title or Position | ADMINISTRATOR/MANAGER
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Name | HEATHER K ARNETT
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Credential |
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Telephone | 718-204-6667
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 136859
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License Number State | NY
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