| NPI | 1053430256 |
|---|---|
| Doing Business As | TRI STATE EYE OPHTHALMOLOGY OF MIDDLETOWN PC |
| Entity Type | Organization |
| Authorized Contact | SEVERIN BOHDAN PALYDOWYCZ Owner 570-296-9696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY MD049303L) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2015-01-30 |