Organization · Type 2 NPI
Long Island Vitreo Retinal Consultants PC
Retina Specialist (Ophthalmology) Physician · Elmhurst, NY
NPI number
1235242553
Active
Practice location
9131 Queens Blvd, Suite 209
Elmhurst, NY 11373-5555
Fax (718) 793-6321
Mailing address
9131 Queens Blvd Ste 209
Elmhurst, NY 11373-5511
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology Physician | 207W00000X | None listed |
| Retina Specialist (Ophthalmology) Physician Primary | 207WX0107X | None listed |
Retina Specialist (Ophthalmology) Physician: An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
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About NPI 1235242553
Long Island Vitreo Retinal Consultants PC's National Provider Identifier is 1235242553, issued on Aug 17, 2006. The primary taxonomy on file is Retina Specialist (Ophthalmology) Physician (207WX0107X), and the practice location is in Elmhurst, NY. The record was last updated on Jul 23, 2026.