LONG ISLAND VITREO RETINAL CONSULTANTS NPI 1740474402

NPI Information

NPI: 1740474402
Provider Name: LONG ISLAND VITREO RETINAL CONSULTANTS
Classification: Ophthalmology - 207WX0107X
Entity Type: Organization

Specialization: Retina Specialist

Address:
600 NORTHERN BLVD STE 216
GREAT NECK, NY
ZIP 11021
Phone: (516) 466-0390
Get Directions

LONG ISLAND VITREO RETINAL CONSULTANTS is a retina specialist ophthalmology in Great Neck, NY. The provider is an ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. LONG ISLAND VITREO RETINAL CONSULTANTS NPI is 1740474402. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

600 NORTHERN BLVD STE 216
GREAT NECK, NY
ZIP 11021-200
Phone: (516) 466-0390
Fax: (516) 466-4956

The provider's authorized official is Kim Maccarone .
The authorized official title is Credentialing Manager and has the following contact phone number (516) 466-0390.

The enumeration date for this NPI number is 9/5/2007 and was last updated on 1/15/2019.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207W00000X	Ophthalmology				No
2	207WX0107X	Ophthalmology	Retina Specialist			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	45A371	OTHER	NEW YORK	DR J SHAKIN
2	467A61	OTHER	NEW YORK	DR B ROSENBLATT
3	423B91	OTHER	NEW YORK	DR K GRAHAM
4	71A461	OTHER	NEW YORK	DR D FASTENBERG
5	44I491	OTHER	NEW YORK	DR E SHAKIN
6	316B51	OTHER	NEW YORK	DR V DERAMO
7	5T9101	OTHER	NEW YORK	DR P FERRONE

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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