| NPI | 1194004754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NA MA President 718-205-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: NY 250375) |
| Enumeration Date | 2011-08-12 |
| Last Update Date | 2011-08-12 |