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BAY RIDGE EYE & RETINA SPECIALIST NPI 1306022652


NPI Information

NPI: 1306022652
Provider Name: BAY RIDGE EYE & RETINA SPECIALIST
Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
333 86TH ST
SUITE 1B
BROOKLYN, NY
ZIP 11209
Phone: (718) 630-1010
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BAY RIDGE EYE & RETINA SPECIALIST is an ophthalmology in Brooklyn, NY. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. BAY RIDGE EYE & RETINA SPECIALIST NPI is 1306022652. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

333 86TH ST
SUITE 1B
BROOKLYN, NY
ZIP 11209-057
Phone: (718) 630-1010
Fax: (718) 630-1020

The provider's authorized official is Samer A Khosrof .
The authorized official title is President and has the following contact phone number (347) 733-5780.

The enumeration date for this NPI number is 1/17/2008 and was last updated on 7/2/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmology241115NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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