| NPI | 1851343719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNE MACKOOL Administrator 718-728-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2023-07-14 |