| NPI | 1245507961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL FREMDER ELLIS Owner 516-822-7546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery |
| Enumeration Date | 2011-11-23 |
| Last Update Date | 2024-03-22 |