| NPI | 1225087471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILIYA PILIPENKO O PT Ician 718-449-7164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV007565) |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician (Licence: NY 006939-1) |
| Enumeration Date | 2006-05-07 |
| Last Update Date | 2012-05-25 |