NPI | 1184070344 |
---|---|
Doing Business As | ST. JUDE EYE CARE |
Entity Type | Organization |
Authorized Contact | SWATHI CHENNA REDDY President 718-257-4549 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 264205) |
Enumeration Date | 2016-05-06 |
Last Update Date | 2023-04-13 |