| NPI | 1487958831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISAK BARAYEV Owner 347-419-2575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: NY 008189) |
| Enumeration Date | 2010-12-28 |
| Last Update Date | 2016-02-17 |