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 |