| NPI | 1043414238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVIN BERMAN Optician 914-682-1550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: NY C003320-1) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2020-08-22 |