| NPI | 1063766616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMA MOSHMAN Residency Program Coordinator 914-493-8373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2012-11-05 |
| Last Update Date | 2012-11-05 |