| NPI | 1114721396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE CONDAX Secretary 718-539-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist |
| Enumeration Date | 2025-04-04 |
| Last Update Date | 2025-04-04 |