| NPI | 1992057335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIEL SEZANAYEV Optician 718-648-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: NY 008312) |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2012-10-09 |