| NPI | 1649652058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA ROSE NIETO CEO 718-885-6367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: NY 009771) |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2015-06-22 |