| NPI | 1508188038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | H JAY WISNICKI Owner 212-844-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY 150650) |
| Enumeration Date | 2010-02-25 |
| Last Update Date | 2014-12-05 |