| NPI | 1851844500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT E BRASS Member 518-782-7827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: NY 004953-1) |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician (Licence: NY 005490-1) |
| Enumeration Date | 2016-07-29 |
| Last Update Date | 2017-01-26 |