| NPI | 1386944676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WISLY GERALD AUGUSTIN President 718-531-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: NY 235739) |
| Enumeration Date | 2010-11-02 |
| Last Update Date | 2021-08-03 |