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 | |
235Z00000X Speech-Language Pathologist, | |
246QM0706X Spec/Tech, Pathology, Medical Technologist | |
Enumeration Date | 2017-01-10 |
Last Update Date | 2019-06-11 |