| NPI | 1619286341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL LEE Owner 718-888-0210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 185626) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV007520) |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2010-12-14 |