| NPI | 1487077483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY MARTIN President 631-265-8780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 207W00000X Ophthalmology |
| 207W00000X Ophthalmology (Licence: NY 201189) | |
| 231H00000X Audiologist | |
| Enumeration Date | 2014-01-27 |
| Last Update Date | 2021-08-12 |