| NPI | 1700323136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER COLAVITO Optometrist/Owner 212-688-0618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: NY VUT006115) |
| Enumeration Date | 2017-01-24 |
| Last Update Date | 2017-01-24 |