| NPI | 1699785832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN J COSTELLO Partner 315-363-1110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2008-07-15 |