| NPI | 1902236292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA MA Optometrist 917-721-6751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV007306) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV007382) |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2013-11-22 |