| NPI | 1043362411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC COLMAN Od 718-714-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY TU003856-1) |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2014-04-29 |