| NPI | 1740359579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID PAZOS O PT Ician 718-380-7788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV004333-1) |
| Additional Taxonomies | 156FX1800X Technician/Technologist Optician (Licence: NY 008847-1) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2011-11-02 |