Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

North Shore Retina Physician, PLLC

Organization Ophthalmology Physician · NPI 1548566342

North Shore Retina Physician, PLLC is an Ophthalmology Physician in Mineola, New York. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

300 Old Country Rd Ste GL 51
Mineola, NY 11501-4198
Phone: (516) 729-8515
Fax: (516) 277-1528
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 226005 (NY)

Record details

NPI number1548566342
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nazanin Barzideh — Physician · (516) 729-8515
NPI enumeratedJanuary 27, 2011
Last updated in NPPESJanuary 27, 2011
Mailing address74 Finch Dr, Roslyn, NY 11576-2705

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