| NPI | 1558566257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA SOCCORSO Billing Supervisor 516-783-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 162044) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2017-03-22 |