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 |