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General NPI Number Information
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NPI Number | 1811322639
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Entity Type | Organization
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Legal Business Name | BROOKLYN RETINA CONSULTING, PLLC
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Dates
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Enumeration Date | 09/11/2013
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Last Update Date | 09/11/2013
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Provider Practice Location Address
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Address Line | 142 JORALEMON ST STOREFRONT
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City | BROOKLYN
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State | NY
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Zip | 11201-4747
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Country | US
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Telephone | 728-596-6800
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Fax | 718-596-6800
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Provider Business Mailing Address
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Address Line | 142 JORALEMON ST STOREFRONT
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City | BROOKLYN
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State | NY
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Zip | 11201-4747
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Country | US
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Telephone | 718-596-6800
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Fax | 718-596-6800
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | DR. ERIC MAURICE SHRIER
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Credential | D.O.
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Telephone | 718-596-6800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS0132X
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Taxonomy Name | Ophthalmologic Surgery Clinic/Center
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License Number | 219455-1
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License Number State | NY
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