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33D2052631 CLIA NUMBER - R MOSTAFAVI MD OPHTHALMOLOGIST PC DBA MOSTAVFAVI EYE INSTITUTE

Laboratory Demographics

CLIA Number: 33D2052631

Facility Name: R MOSTAFAVI MD OPHTHALMOLOGIST PC DBA MOSTAVFAVI EYE INSTITUTE

Facility Address:
3860 VICTORY BOULEVARD -2ND FLOOR
STATEN ISLAND, NY
ZIP 10314
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Facility Phone Number: 718 370-2222

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1851540488

Taxonomy: 207W00000X - Ophthalmology
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.

CLIA Record

Field Name Field Value
CLIA Number 33D2052631
LAB Type Physician Office
Facility Name R MOSTAFAVI MD OPHTHALMOLOGIST PC DBA MOSTAVFAVI EYE INSTITUTE
Street 3860 VICTORY BOULEVARD -2ND FLOOR
City STATEN ISLAND
State NY
ZIP 10314
Phone 718 370-2222
CertificateType 4
CertificateEffectiveDate 10/27/2022
CertificateExpirationDate 10/26/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024