| NPI | 1871759290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTY MINER Insurance Billing/Technician 518-944-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV006630) |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2010-04-27 |