| NPI | 1336675156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD GENTILE Managing Member 212-979-4120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: NY 189544) |
| Additional Taxonomies | 261QI0500X Clinic/Center, Infusion Therapy (Licence: NY 189544) |
| 261QR1100X Clinic/Center, Research (Licence: NY 189544) | |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |