| 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 |