Provider Demographics
NPI:1073828836
Name:NEW YORK MEDICAL & SURGICAL EYE CARE, PLLC
Entity Type:Organization
Organization Name:NEW YORK MEDICAL & SURGICAL EYE CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:VALERIA
Authorized Official - Middle Name:J
Authorized Official - Last Name:RUBINSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-242-2200
Mailing Address - Street 1:110 EAST 40TH STREET
Mailing Address - Street 2:SUITE 404
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-1817
Mailing Address - Country:US
Mailing Address - Phone:212-242-2200
Mailing Address - Fax:212-242-3003
Practice Address - Street 1:110 EAST 40TH STREET
Practice Address - Street 2:SUITE 404
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-1817
Practice Address - Country:US
Practice Address - Phone:212-242-2200
Practice Address - Fax:212-242-3003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-17
Last Update Date:2012-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY232036207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty