| NPI | 1811433998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY FAN-PAUL Physician/Owner 718-353-8460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services (Licence: NY 204187) |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2017-07-12 |