| NPI | 1487852612 |
|---|---|
| Doing Business As | RIVERDALE EYE CARE |
| Entity Type | Organization |
| Authorized Contact | SUSANNA VAYSTUB Member 718-543-8066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY 006447) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2007-07-10 |