NPI | 1649469222 |
---|---|
Entity Type | Organization |
Authorized Contact | DONNA NIELSEN Practice Administrator 516-822-3911 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 102963) |
Enumeration Date | 2007-10-18 |
Last Update Date | 2007-10-30 |