| NPI | 1366709941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILIA BOROKHOV Owner 718-216-8181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: NY 007584-1) |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2012-04-19 |