| NPI | 1518350107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE KANTOR O PT Ometrist 516-297-7115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: NY TUV007056) |
| Enumeration Date | 2015-03-06 |
| Last Update Date | 2015-03-06 |