NPI | 1992702377 |
---|---|
Entity Type | Organization |
Authorized Contact | IRIS A JORDAN Office Manager 718-834-1976 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 124104) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 198023) |
207W00000X Ophthalmology (Licence: NY 158997) | |
207W00000X Ophthalmology (Licence: NY 221505) | |
Enumeration Date | 2005-06-30 |
Last Update Date | 2015-05-01 |