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General NPI Number Information
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NPI Number | 1790959674
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Entity Type | Organization
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Legal Business Name | PAMEL VISION AND LASER GROUP
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Dates
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Enumeration Date | 04/22/2008
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 2308 30TH AVE 5TH FLOOR
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City | ASTORIA
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State | NY
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Zip | 11102-3397
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Country | US
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Telephone | 718-278-3800
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Fax | 718-278-3318
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Provider Business Mailing Address
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Address Line | 115 E 61ST ST SUITE 1B
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City | NEW YORK
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State | NY
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Zip | 10065-8183
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Country | US
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Telephone | 212-355-2215
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Fax | 212-355-6930
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | ARETI GAZIS
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Credential |
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Telephone | 646-779-3156
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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 | 194606
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License Number State | NY
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