| NPI | 1699125856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YAO LU Owner 718-534-0689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 207N00000X Dermatology |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2019-12-02 |