Long Island Vitreo Retinal Consultants Pc in Elmhurst - Retina Specialist
Long Island Vitreo Retinal Consultants Pc - NPI 1235242553
Long Island Vitreo Retinal Consultants Pc is a Retina Specialist in Elmhurst, New York. Long Island Vitreo Retinal Consultants Pc practices all healthcare services and medical treatments related to Retina Specialist. The NPI Number for Long Island Vitreo Retinal Consultants Pc is 1235242553. The last update date is 2019-02-13.
Long Island Vitreo Retinal Consultants Pc's current location address is 9131 Queens Blvd, Elmhurst, New York. You can contact this provider via phone number 7187936430 and fax number 7187936321. The mailing address for Long Island Vitreo Retinal Consultants Pc is 9131 Queens Blvd, Elmhurst, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Long Island Vitreo Retinal Consultants Pc |
|---|---|
| Address | 9131 Queens Blvd, Elmhurst, New York |
| Phone Number | 7187936430 |
| Fax Number | 7187936321 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | AUTHORIZED |
|---|---|
| Authorized Official Name | Fastenberg M David |
| Credentials | MD |
| Telephone Number | 5164660390 |
NPI Number Detail
| NPI Number | 1235242553 |
|---|---|
| Provider Enumeration Date | 2006-08-17 |
| Last Updated Date | 2019-02-13 |
Provider Mailing Address Detail
| Address | 9131 Queens Blvd |
|---|---|
| City | Elmhurst |
| State | New York (NY) |
| Post Code | 113735555 |
| Phone Number | 7187936430 |
| Fax Number | 7187936321 |
Provider's Primary Taxonomy Detail
| Speciality | Retina Specialist |
|---|---|
| Taxonomy | 207Wx0107X |
|
Definition: An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 710554 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Long Island Vitreo Retinal Consultants Pc by the Centers for Medicare & Medicaid Services?
The Long Island Vitreo Retinal Consultants Pc has been issued the NPI (National Provider Identifier) 1235242553, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Long Island Vitreo Retinal Consultants Pc is geographically located?
The Long Island Vitreo Retinal Consultants Pc is physically situated at the following location: 9131 Queens Blvd, Elmhurst, NY, 113735555.
What is the Long Island Vitreo Retinal Consultants Pc's specialty and taxonomy code?
The Long Island Vitreo Retinal Consultants Pc's specialty is Retina Specialist, and the corresponding taxonomy code is 207Wx0107X.
On what date did the Centers for Medicare & Medicaid Services assign the 1235242553 to Long Island Vitreo Retinal Consultants Pc?
The Centers for Medicare & Medicaid Services assigned the 1235242553 to Long Island Vitreo Retinal Consultants Pc on 2006-08-17.
As of what date was the information pertaining to Long Island Vitreo Retinal Consultants Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Long Island Vitreo Retinal Consultants Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2019-02-13.