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LONG ISLAND VITREO RETINAL CONSULTANTS NPI 1497940019


NPI Information

NPI: 1497940019
Provider Name: LONG ISLAND VITREO RETINAL CONSULTANTS
Classification: Ophthalmology - 207W00000X
Entity Type: Organization

CLIA Number: 33D2278257

Address:
47 COMMERCE DR
SUITE 2
RIVERHEAD, NY
ZIP 11901
Phone: (631) 905-0666
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LONG ISLAND VITREO RETINAL CONSULTANTS is an ophthalmology in Riverhead, 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. LONG ISLAND VITREO RETINAL CONSULTANTS NPI is 1497940019. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

47 COMMERCE DR
SUITE 2
RIVERHEAD, NY
ZIP 11901-106
Phone: (631) 905-0666
Fax: (516) 905-0660

The provider's authorized official is Annmarie Gamba .
The authorized official title is Billing Manager and has the following contact phone number (516) 466-0390.

The CLIA number assigned to this NPI record is 33D2278257 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/6/2007 and was last updated on 9/18/2007.


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
1207W00000XOphthalmologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1423B91OTHERNEW YORKDR K GRAHAM
243F372OTHERNEW YORKDR B GOLUB
35T9101OTHERNEW YORKDR P FERRONE
471A461OTHERNEW YORKDR FASTENBERG
5W8E002MEDICARE PINNEW YORK
644I491OTHERNEW YORKDR E SHAKIN
7316B51OTHERNEW YORKDR V DERAMO
845A371OTHERNEW YORKDR J SHAKIN
9467A61OTHERNEW YORKDR B ROSENBLATT

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: 4/28/2024

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