| NPI | 1821168345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM LING Management 718-621-6305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 152W00000X Optometrist |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2022-01-20 |