| NPI | 1104348382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS SHASHATI Proffesional Services 646-737-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1100X Technician/Technologist Ophthalmic |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2017-07-10 |