| NPI | 1538606900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROMAN MOSTOVOY Owner 718-600-1531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: NY C009086) |
| Enumeration Date | 2017-01-24 |
| Last Update Date | 2017-01-24 |