NPI | 1063718229 |
---|---|
Entity Type | Organization |
Authorized Contact | ROMAN MOSTOVOY Licensed Optician 347-587-6565 |
Organization Subpart ? | No |
Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: NY c009086) |
Enumeration Date | 2011-02-07 |
Last Update Date | 2011-02-07 |