- Practice location
- 333 86TH St, Suite 1B, Brooklyn, NY 11209-5057
- Phone
- 718-630-1010
- Fax
- 718-630-1020
- Last updated
- December 12, 2023
Bay Ridge Eye & Retina Specialist is a healthcare organization based in Brooklyn, NY. Bay Ridge Eye & Retina Specialist practices in Brooklyn, NY. The NPI Number for Bay Ridge Eye & Retina Specialist is 1306022652 and holds a License No. 241115 (NY). The current practice location address for Bay Ridge Eye & Retina Specialist is 333 86TH St, Suite 1B, Brooklyn, NY 11209-5057 and can be reached out via phone at 718-630-1010 and via fax at 718-630-1020.
Provider Profile Details
- NPI Number
- 1306022652
- Provider Name
- Bay Ridge Eye & Retina Specialist
- Provider Entity Type
- Organization
- Address
- 333 86TH St, Suite 1B, Brooklyn, NY 11209-5057
- Phone Number
- 718-630-1010
- Fax Number
- 718-630-1020
- Primary Taxonomy
- Ophthalmology · 207W00000X
- Organization Subpart
- No
- Authorized Official
- Samer A. Khosrof, MD · President · 347-733-5780
- Other Names
- New York Eye & Retina Specialist, P.c. (Doing Business As)
- Provider Enumeration Date
- January 17, 2008
- Last Update Date
- December 12, 2023
- Certification Date
- December 12, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 333 86TH St
Suite 1B
Brooklyn, NY 11209-5057 - City
- Brooklyn
- State
- New York
- Zip
- 11209-5057
- Phone Number
- 718-630-1010
- Fax Number
- 718-630-1020
Provider Business Mailing Address Details
- Address
- 333 86TH St
Suite 1B
Brooklyn, NY 11209-5057 - City
- Brooklyn
- State
- NY
- Zip
- 11209-5057
- Phone Number
- 718-630-1010
- Fax Number
- 718-630-1020
License Information
- License Number
- 241115
- License State
- NY
- Taxonomy
- Ophthalmology · 207W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Bay Ridge Eye & Retina Specialist?
The NPI number of Bay Ridge Eye & Retina Specialist is 1306022652. It was assigned on January 17, 2008 and is currently active in the NPPES registry.
What is the specialty of Bay Ridge Eye & Retina Specialist?
Bay Ridge Eye & Retina Specialist is registered under the primary taxonomy Ophthalmology (code 207W00000X), licensed in NY under license number 241115.
Where does Bay Ridge Eye & Retina Specialist practice?
The practice location is 333 86TH St, Suite 1B, Brooklyn, NY 11209-5057. The office can be reached at 718-630-1010 (phone) or 718-630-1020 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1306022652 directly on the NPPES registry website.