| NPI | 1124671417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONARDO G. HERNANDEZ-GOMEZ Field Service Coordinator 914-565-6547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2019-07-17 |