NPI | 1518155688 |
---|---|
Former Legal Business Name | WILCK & SCHWARTZ, OD, PC |
Entity Type | Organization |
Authorized Contact | VLAD NOVAK Od 718-376-5288 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NY 002967) |
Enumeration Date | 2007-10-14 |
Last Update Date | 2013-11-07 |