| NPI | 1184872038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER MARIE GAYNE Owner 518-370-7040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: NY 008203-1) |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2023-01-26 |