NPI | 1851838502 |
---|---|
Entity Type | Organization |
Authorized Contact | CHAD ZATEZALO Owner 917-664-2585 |
Organization Subpart ? | No |
Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: MD D0074823) |
Enumeration Date | 2017-01-19 |
Last Update Date | 2023-10-26 |