| NPI | 1700181112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELZIE CHAN-ENGLENDER O PT Ometrist 718-544-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV006563) |
| Enumeration Date | 2011-01-14 |
| Last Update Date | 2011-01-14 |