| NPI | 1043971112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES DOERING Owner / Provider 518-420-7106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery |
| Enumeration Date | 2021-12-31 |
| Last Update Date | 2023-09-01 |