| NPI | 1083777825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE GOETZ Office Manager 718-556-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 186226) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 149171) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2010-10-26 |