North Shore Retina Physician, Pllc

NPI #1548566342 in Mineola, New York

Provider Information

NPI Number: 1548566342
Entity Type: Organization
Organization Name: North Shore Retina Physician, Pllc
Primary Specialty: Ophthalmology
Enumeration Date: Jan 27, 2011
Last Updated: Jan 27, 2011

Practice Location

Address: 300 OLD COUNTRY RD
Address 2: SUITE GL 51
City: Mineola
State: New York
ZIP Code: 11501-4198
Phone: (516) 729-8515

Authorized Official

Name: MRS. NAZANIN BARZIDEH, MD
Title: PHYSICIAN
Phone: (516) 729-8515

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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