New York Glaucoma Medical PC

NPI #1013020296 in Brooklyn, New York

Provider Information

NPI Number: 1013020296
Entity Type: Organization
Organization Name: New York Glaucoma Medical PC
Primary Specialty: Ophthalmology
Enumeration Date: Aug 15, 2006
Last Updated: Dec 8, 2008

Practice Location

Address: 455 KINGS HWY
Address 2: 1ST FLOOR
City: Brooklyn
State: New York
ZIP Code: 11223-1803
Phone: (718) 645-2201

Authorized Official

Name: IRINA PANKOVA, DO
Title: PRESIDENT
Phone: (718) 645-2201

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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