EMPIRE FAMILY OPHTHALMOLOGY, PC
Ambulatory Health at Ralph Ave, Brooklyn, NY

License number
New York 235739
Category
Ambulatory Health
Type
Ophthalmologic Surgery
Owner
Name: DR. WISLY GERALD AUGUSTIN M.D.
Title: PRESIDENT
Phone: (718) 531-6100
Address
Address
1713 Ralph Ave, Brooklyn, NY 11236
National Provider ID: 1386944676
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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EMPIRE FAMILY OPHTHALMOLOGY, PC

1713 Ralph Ave, Brooklyn, NY 11236

Status:
Inactive
Inactive reason:
Dissolution by Proclamation / Annulment of Authority
Registration:
Nov 4, 2008
Inactive since:
Oct 26, 2011
State ID:
3739344
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Wisly G Augustin, 474 Midwodo St 2, Brooklyn, NY 11225 (Physical)

Empire Family Ophthalmology, PC

474 Midwood St, Brooklyn, NY 11225

Status:
Inactive
Industry:
Business Services
President:
Wisly Gerald Augustin President, inactive

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