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NPI Code Detail

MEDICARE: NY OPHTHALMOLOGY AND MEDICAL ASSOCIATES PLLC

MEDICARE: NY OPHTHALMOLOGY AND MEDICAL ASSOCIATES PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology Physician250306NY

General Provider Information

NPI Number : 1356842520
Entity Type Code : Organization
Provider Name (Legal Business Name) : NY OPHTHALMOLOGY AND MEDICAL ASSOCIATES PLLC
Provider Business Mailing Address
First Line : 398 BRIDGE ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11201-5210
Country : US
Telephone Number : 718-865-8159
Fax Number :
Provider Business Practice Location Address
First Line : 632 FLATBUSH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11225-5606
Country : US
Telephone Number : 718-865-8159
Fax Number :
Authorized Official
Title or Position : OWNER
Name : ERIC DESSNER
Credential : MD
Telephone Number : 718-865-8159
Provider Enumeration Date : 02/23/2018
Last Update Date : 01/16/2024

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Directions to “NY OPHTHALMOLOGY AND MEDICAL ASSOCIATES PLLC ” Practice Location

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