| NPI | 1023254745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TZVI J KAHAN Owner 718-797-2235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: NY 011800-1) |
| Enumeration Date | 2008-12-30 |
| Last Update Date | 2008-12-30 |