| NPI | 1801220256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANEVE JEANNITON President/ Owner 718-960-6389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 260895) |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2013-11-05 |