| NPI | 1093993511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE J WYLD Practice Admin., Ofc Mgr. 845-471-8410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 171627) |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2008-02-06 |