Provider Demographics
NPI:1285985721
Name:MEDICAL CHECK EYE CARE PLLC
Entity type:Organization
Organization Name:MEDICAL CHECK EYE CARE PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:C
Authorized Official - Last Name:TROTTA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-923-5380
Mailing Address - Street 1:1115 INMAN AVE # 191
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08820-1132
Mailing Address - Country:US
Mailing Address - Phone:908-222-8773
Mailing Address - Fax:908-222-8770
Practice Address - Street 1:1602 SAINT NICHOLAS AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10040-3311
Practice Address - Country:US
Practice Address - Phone:212-923-5380
Practice Address - Fax:212-795-4545
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-24
Last Update Date:2012-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY103383-1207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty