NPI | 1174892418 |
---|---|
Doing Business As | AJ ELLIOT OPTICIANS |
Entity Type | Organization |
Authorized Contact | ELLIOT R ROTH Optometrist 516-849-8710 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY VUT005485) |
Enumeration Date | 2011-12-15 |
Last Update Date | 2011-12-15 |