Provider Demographics
NPI:1811931041
Name:THE NEW YORK EYE & EAR INFIRMARY OPHTHALMOLOGY ASSOCIATES, P.C.
Entity type:Organization
Organization Name:THE NEW YORK EYE & EAR INFIRMARY OPHTHALMOLOGY ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CAO
Authorized Official - Prefix:MR
Authorized Official - First Name:LLOYD
Authorized Official - Middle Name:G
Authorized Official - Last Name:STANFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-979-4253
Mailing Address - Street 1:218 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-2719
Mailing Address - Country:US
Mailing Address - Phone:212-979-4253
Mailing Address - Fax:212-979-4051
Practice Address - Street 1:218 2ND AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-2719
Practice Address - Country:US
Practice Address - Phone:212-979-4253
Practice Address - Fax:212-979-4051
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-16
Last Update Date:2015-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYW22911Medicare PIN