| NPI | 1730255951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA SCOTT POTENZA President 607-272-7441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician (Licence: NY 004683-1) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2008-06-10 |