| NPI | 1568568731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN FIGUEROA Billing Manager 718-623-9122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY VUT004926) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2020-08-22 |