| NPI | 1821271354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER COLAVITO Optometrist 212-758-0772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: NY VUT006115) |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2007-12-07 |