| NPI | 1427037092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISAAK SHARIVKER Owner/O PT Ician 718-261-1764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: NY 006712-1) |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2018-04-13 |