| NPI | 1689979551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM BENNETT PASS Physician Owner 718-836-1779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 182927) |
| Enumeration Date | 2011-01-24 |
| Last Update Date | 2011-01-24 |