| NPI | 1194119297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA KOTSAMANIDIS-BURG Executive Director 914-631-1070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WV0400X Optometrist, Vision Therapy |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2017-02-22 |