| NPI | 1356963755 |
|---|---|
| Doing Business As | NEW YORK RETINA CENTER |
| Entity Type | Organization |
| Authorized Contact | BRANDON B JOHNSON Practice Owner 917-284-6999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 207WX0107X Ophthalmology Retina Specialist |
| Enumeration Date | 2020-05-08 |
| Last Update Date | 2021-07-22 |