| NPI | 1831594860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SURESH SANPAUL O PT Ician 718-297-2997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 5810) |
| Additional Taxonomies | 152W00000X Optometrist |
| 152WP0200X Optometrist Pediatrics | |
| 156FX1800X Technician/Technologist Optician | |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2024-07-29 |