| NPI | 1053599571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE CAROL DOCTOR Owner/Physician 203-227-4113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CT 033750) |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2021-11-16 |