NPI | 1982704862 |
---|---|
Doing Business As | BROADWAY VISION CENTER |
Entity Type | Organization |
Authorized Contact | NICHOLAS A. RADETZKY Od 212-234-2020 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NY 4372) |
Enumeration Date | 2006-09-22 |
Last Update Date | 2020-01-21 |