| NPI | 1376095992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARZAD FAKHERI President 718-720-2001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV004573) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 191296) |
| Enumeration Date | 2016-10-31 |
| Last Update Date | 2016-10-31 |