| NPI | 1083771232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES CORLISS Executive Director 212-942-0043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NY 7876100A) |
| Additional Taxonomies | 251S00000X (Licence: NY 070510836) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2012-08-28 |