| NPI | 1568530079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUILLERMO YSMAEL REYES President 718-299-5454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: NY 0073791) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2012-03-05 |