| NPI | 1093866931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN SEWALL LOSITO Optometrist 315-252-5622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV004850) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2008-11-11 |