| NPI | 1457692816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVI BERTHI CHOAI Owner 718-513-3577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: NY 6250) |
| Enumeration Date | 2013-03-11 |
| Last Update Date | 2013-03-11 |