| NPI | 1053119479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QUINCY K. LEON Program Coordinator 212-746-3970 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2025-03-03 |
| Last Update Date | 2025-03-03 |