| NPI | 1760727101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILYA DAVIDSON President 347-592-7373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician (Licence: NY 008896-1) |
| Enumeration Date | 2012-12-11 |
| Last Update Date | 2012-12-11 |