| NPI | 1104205780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL K KHODADADIAN CEO President 718-287-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 206436) |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2024-01-25 |