| NPI | 1699892976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACEY A ORTIZ Administrator 516-627-5113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 109382) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2009-01-27 |