| NPI | 1700146511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABRAM DAVIDOV Owner 718-331-5313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician (Licence: NY 009346) |
| Enumeration Date | 2012-05-25 |
| Last Update Date | 2020-08-12 |