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General NPI Number Information
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NPI Number | 1700540077
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Entity Type | Organization
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Legal Business Name | NEW YORK EYE AND GLAUCOMA SPECIALIST PLLC
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Dates
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Enumeration Date | 10/23/2021
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Last Update Date | 04/03/2022
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Provider Practice Location Address
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Address Line | 13636 39TH AVE STE 2
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City | FLUSHING
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State | NY
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Zip | 11354-5576
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Country | US
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Telephone | 646-530-8400
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Fax | 410-657-6888
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Provider Business Mailing Address
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Address Line | 42 GLENWOOD RD
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City | ROSLYN
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State | NY
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Zip | 11576-1029
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Country | US
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Telephone | 347-724-1896
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Fax | 410-657-6888
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | YUFEI TU
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Credential |
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Telephone | 347-724-1896
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207WX0009X
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Taxonomy Name | Glaucoma Specialist (Ophthalmology) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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