| NPI | 1932434396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VITALY GUMENIK Optician 718-975-0642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: NY 008166-1) |
| Enumeration Date | 2009-10-02 |
| Last Update Date | 2009-10-02 |