| NPI | 1205975802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHARIS RIEVE KENNEDY Office Manager 646-763-2263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 226054) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2007-11-16 |