| NPI | 1700955382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARAT SHLIMOV O PT Ician 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 |