| NPI | 1699979930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER K ARNETT Administrator/Manager 718-204-6667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 136859) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2020-12-17 |