| NPI | 1235431750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YACOUBA KONATE Owner 718-495-2065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-12-04 |
| Last Update Date | 2021-01-21 |