| NPI | 1891035150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY FISHMAN Owner 718-862-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1100X Technician/Technologist, Ophthalmic (Licence: NY 226327) |
| Enumeration Date | 2013-02-25 |
| Last Update Date | 2013-02-25 |