Provider Demographics
NPI:1457695421
Name:OPHTHALMOLOGY CARE OF NEW YORK, PLLC
Entity Type:Organization
Organization Name:OPHTHALMOLOGY CARE OF NEW YORK, PLLC
Other - Org Name:EYE CENTER OF NEW YORK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TAL
Authorized Official - Middle Name:
Authorized Official - Last Name:RAVIV
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-889-3550
Mailing Address - Street 1:30 E 60TH ST STE 2002
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-1017
Mailing Address - Country:US
Mailing Address - Phone:212-889-3550
Mailing Address - Fax:212-696-1190
Practice Address - Street 1:30 E 60TH ST STE 2002
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-1017
Practice Address - Country:US
Practice Address - Phone:212-889-3550
Practice Address - Fax:212-696-1190
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-15
Last Update Date:2021-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty