| NPI | 1275660698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYUDMILA KUBYNINA Optician 718-420-6191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: NY 008251-1) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2011-01-28 |