Vitreoretinal Consultants Pc
LBN: Long Island Vitreo Retinal Consultants Pc
Vitreoretinal Consultants Pc is an health care organization with primary practice located at 9131 Queens Blvd Suite 209, Elmhurst NY 11373-5555. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is the primary health care specialty.
Long Island Vitreo Retinal Consultants Pc can be contacted via phone (718) 793-6430, or through Fastenberg, David M via phone (516) 466-0390.
Contact Information
Primary practice address
9131 Queens Blvd Suite 209
Elmhurst NY 11373-5555
Phone: (718) 793-6430
Fax: (718) 793-6321
Website:
Authorized official contact:
Name: Fastenberg, David M Doctor of Medicine (MD)
Phone: (516) 466-0390
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | ||
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X |
Profile Details
| NPI number | 1235242553 |
|---|---|
| LBN Legal business name | Long Island Vitreo Retinal Consultants Pc |
| DBA Doing business as | Vitreoretinal Consultants Pc |
| Authorized official | Fastenberg, David M Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 17th, 2006 |
| Last updated | Feb 13th, 2019 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235242553 | NPPES |
| New York | MEDICAID | 00710554 |
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