| NPI | 1285230722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE ELLEN GORDON Owner 917-531-0197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist |
| Enumeration Date | 2020-12-09 |
| Last Update Date | 2021-07-02 |