| NPI | 1033543657 |
|---|---|
| Other Name | SPACE E. LLC |
| Entity Type | Organization |
| Authorized Contact | NEKEELA DEHAARTE Director 212-419-4911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization |
| Enumeration Date | 2013-08-30 |
| Last Update Date | 2013-08-30 |