| NPI | 1558899971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILANA GELFOND-POLNARIEV Owner 718-481-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY 0065888) |
| Additional Taxonomies | 152WP0200X Optometrist, Pediatrics (Licence: NY 006588) |
| 152WV0400X Optometrist, Vision Therapy (Licence: NY 006588) | |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2022-07-21 |