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NPI Code Detail

MEDICARE: NEW YORK EYE ASSOCIATES, LLC

MEDICARE: NEW YORK EYE ASSOCIATES, LLC
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 Physician

General Provider Information

NPI Number : 1770598369
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW YORK EYE ASSOCIATES, LLC
Provider Business Mailing Address
First Line : 587 KINGS HWY
Second Line :
City : BROOKLYN
State : NY
Zip : 11223-2021
Country : US
Telephone Number : 718-627-0303
Fax Number : 718-336-8103
Provider Business Practice Location Address
First Line : 587 KINGS HWY
Second Line :
City : BROOKLYN
State : NY
Zip : 11223-2021
Country : US
Telephone Number : 718-627-0303
Fax Number : 718-336-8103
Authorized Official
Title or Position : BILLING MANAGER
Name : MR. JACK HULLA
Credential :
Telephone Number : 718-627-0303
Provider Enumeration Date : 07/30/2006
Last Update Date : 08/12/2008

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Directions to “NEW YORK EYE ASSOCIATES, LLC ” Practice Location

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