| NPI | 1316072507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA LEV BENTSIANOV Owner 718-996-2260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: NY 202022) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2023-05-05 |