NPI | 1598025157 |
---|---|
Entity Type | Organization |
Authorized Contact | CHAD MALIK Office Manager 718-464-2020 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 183286) |
Additional Taxonomies | 152W00000X Optometrist |
Enumeration Date | 2012-05-16 |
Last Update Date | 2012-05-16 |