| NPI | 1518317114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLORA LEVIN Owner 917-593-4187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology Ophthalmic Plastic and Reconstructive Surgery (Licence: CT 048767) |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2017-02-14 |