Tri-State Retina P.c.

NPI #1396206306 in Mount Vernon, New York

Provider Information

NPI Number: 1396206306
Entity Type: Organization
Organization Name: Tri-State Retina P.c.
Primary Specialty: Ophthalmology
Enumeration Date: Mar 31, 2019
Last Updated: Jan 6, 2025

Practice Location

Address: 559 GRAMATAN AVE STE 202
City: Mount Vernon
State: New York
ZIP Code: 10552-2156
Phone: (914) 699-2020

Authorized Official

Name: RAVI RADHAKRISHNAN, MD
Title: PRESIDENT
Phone: (914) 699-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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