| NPI | 1528372901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KALEENA MA Executive Administrator 212-267-1260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY 1396931689) |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2010-07-28 |