| NPI | 1255646212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER DEMIDENKO Medical Director 718-868-8668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 249146) |
| Enumeration Date | 2010-08-15 |
| Last Update Date | 2023-10-18 |