| NPI | 1568735223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENTE CALDERON President 718-749-7027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 122300000X Dentist | |
| 163W00000X Registered Nurse | |
| 213E00000X Podiatrist | |
| Enumeration Date | 2012-02-10 |
| Last Update Date | 2021-12-13 |