NPI | 1700955382 |
---|---|
Entity Type | Organization |
Authorized Contact | MARAT SHLIMOV Optician 1718-265-1100 |
Organization Subpart ? | No |
Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: NY 007320) |
Enumeration Date | 2006-11-07 |
Last Update Date | 2008-04-23 |