| NPI | 1255700118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE BISSOON President 917-412-2287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: NY TUV007180) |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2015-09-22 |