| NPI | 1144510058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KETAN H KUTLERYWALA Owner/Optometrist 845-296-0291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY 7391) |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2014-10-03 |