| NPI | 1639470966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEA GOLDBERGER President 718-437-8772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2024-07-17 |