| NPI | 1902097884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J FISH Mgr 845-896-5519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: NY 4535) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2008-01-02 |