| NPI | 1790952257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAKSIM GRINBERG Manager Owner 718-873-3161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician (Licence: NY 007422) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2009-12-11 |