Provider Demographics
NPI:1548325517
Name:ABAID AND PATSALIS O.D. P.C.
Entity type:Organization
Organization Name:ABAID AND PATSALIS O.D. P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:PATSALIS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:917-721-0928
Mailing Address - Street 1:6834 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11220-5803
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6834 3RD AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-5803
Practice Address - Country:US
Practice Address - Phone:718-680-3270
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-27
Last Update Date:2020-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY166202POtherHIP
14339OtherSPECTERA
NYC195C2OtherEMPIRE
NY00001489331OtherUNITED HEALTHCARE
NY372259POtherHIP
NY02259369Medicaid
NY228985POtherHIP
NY901112OtherBLOCK VISION
NY43534OtherDAVIS VISION
NYP3010100OtherOXFORD
NY=========OtherGHI
NY166202POtherHIP
NYCAWEH1Medicare PIN