| NPI | 1477812295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL BRAVER Treasurer 718-222-5999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 152W00000X Optometrist |
| 152WV0400X Optometrist, Vision Therapy | |
| 207W00000X Ophthalmology | |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2012-05-14 |