NPI | 1013163021 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY ELLEN BRITTIS Owner 914-965-2606 |
Organization Subpart ? | No |
Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: NY 166425) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 166425) |
Enumeration Date | 2008-08-09 |
Last Update Date | 2017-04-24 |