| NPI | 1396023891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NA MA President 516-504-3867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: NY 250375) |
| Enumeration Date | 2011-08-01 |
| Last Update Date | 2011-08-01 |