| NPI | 1144392549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS ALBERTO DE LA ROSA President 212-926-0336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV005619) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2015-10-27 |