| NPI | 1174285365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARMILA SRINIVASAN President 315-450-1458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2021-10-06 |
| Last Update Date | 2021-10-06 |