| NPI | 1063717981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANEESUDDIN SYED HASHMI Optometrist 917-514-8569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY T006103) |
| Enumeration Date | 2011-01-25 |
| Last Update Date | 2011-01-25 |