Provider Demographics
NPI:1699805085
Name:ARDEE ASSOC. OYSTER BAY L.L.C
Entity type:Organization
Organization Name:ARDEE ASSOC. OYSTER BAY L.L.C
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:DANDO
Authorized Official - Suffix:
Authorized Official - Credentials:PRESIDENT OWNER
Authorized Official - Phone:631-225-5828
Mailing Address - Street 1:350 EAST MONTAWK HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:LINDENHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11757
Mailing Address - Country:US
Mailing Address - Phone:631-225-5828
Mailing Address - Fax:631-225-5271
Practice Address - Street 1:350 EAST MONTAWK HIGHWAY
Practice Address - Street 2:
Practice Address - City:LINDENHURST
Practice Address - State:NY
Practice Address - Zip Code:11757
Practice Address - Country:US
Practice Address - Phone:631-225-5828
Practice Address - Fax:631-225-5271
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2009-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156F00000XEye and Vision Services ProvidersTechnician/TechnologistGroup - Single Specialty