| NPI | 1144253261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE LEWIS GORDON Physician Partner 914-949-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2008-02-20 |