| NPI | 1447228333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM BALDIZZONE President 718-372-5144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: NY 005101) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY tuv004810) |
| 152W00000X Optometrist (Licence: NY tuv006252) | |
| 152W00000X Optometrist (Licence: NY tuv006545) | |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2020-08-22 |