| NPI | 1104146232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSEANNE MARGARET RICCIARDI Vice President 718-491-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV004325) |
| Enumeration Date | 2010-06-11 |
| Last Update Date | 2010-06-11 |