| NPI | 1184637662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY TERRACIANO Physician 718-654-7122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 214528) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 91750) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2007-10-23 |