| NPI | 1962576900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD NOWICKI Owner 716-649-1616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156F00000X Technician/Technologist (Licence: NY C0029221) |
| Additional Taxonomies | 156FX1800X Technician/Technologist Optician (Licence: NY C0029221) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2020-08-22 |