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 |