| NPI | 1093804569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEMEN KOSOGLYADOV Owner 718-491-2437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: NY 006605-1) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2007-12-18 |