| NPI | 1366914699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NISHA BHALLA Head Of Business Development 347-703-8106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist |
| Enumeration Date | 2018-12-27 |
| Last Update Date | 2018-12-27 |