| NPI | 1639470586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCELLE MATTA MORCOS Owner 718-658-2787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 253774) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 141730) |
| Enumeration Date | 2010-11-09 |
| Last Update Date | 2010-11-09 |