Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 005998 | NY |
N | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 005998 | NY |
NPI | 1306066196 |
---|---|
Provider Name | Dr. Adelina Volis |
First Address | Brooklyn, NY 11235-3713 |
Second Address | Brooklyn, NY 11223-2021 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2007 |
Last Update Date | 16/04/2008 |