| NPI | 1245776640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCIEN G PRINCE Chairman 516-200-3850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WL0500X Optometrist Low Vision Rehabilitation |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 152WC0802X Optometrist Corneal and Contact Management | |
| 152WP0200X Optometrist Pediatrics | |
| 152WV0400X Optometrist Vision Therapy | |
| 152WX0102X Optometrist Occupational Vision | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 208000000X Pediatrics | |
| 225400000X Rehabilitation Practitioner | |
| 2255R0406X Specialist/Technologist Rehabilitation, Blind | |
| 225CA2400X Rehabilitation Counselor Assistive Technology Practitioner | |
| 225CX0006X Rehabilitation Counselor Orientation and Mobility Training Provider | |
| 235Z00000X Speech-Language Pathologist | |
| 246QM0706X Specialist/Technologist, Pathology Medical Technologist | |
| Enumeration Date | 2017-01-10 |
| Last Update Date | 2019-06-11 |