| NPI | 1104116144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUBREY SCHMALLE Managing Member, Director 347-426-6107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0100X Clinic/Center, Occupational Medicine (Licence: CT 003406) |
| Additional Taxonomies | 174400000X Specialist (Licence: CT 003406) |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2013-06-13 |