| NPI | 1104008390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID TUNG Practice Administrator 516-783-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 162044) |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2020-03-16 |