NPI | 1578823878 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS FRIEDRICH Administrator 607-398-3355 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 008785) |
Additional Taxonomies | 152W00000X Optometrist (Licence: NY 008785) |
Enumeration Date | 2012-05-21 |
Last Update Date | 2012-05-21 |