NPI | 1043271331 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL ROBERT MENASSE President O PT Ician 718-499-4260 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Licence: NY C-005331-1) |
Enumeration Date | 2006-03-28 |
Last Update Date | 2017-11-11 |