| NPI | 1467407833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN DE BRUEYS Administrator 518-782-1181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: NY 0153204R) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2016-11-01 |