| NPI | 1598509879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA PERRONE Practice Administrator 973-743-1331 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2024-06-21 |
| Last Update Date | 2024-06-25 |