| NPI | 1801997986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA VALENTIN Credentialing Specialist 212-792-8149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY 002871) |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician (Licence: NY 008272) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2012-10-22 |