| NPI | 1134199599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IMTIYAZ I KAPADWALA Sole Proprietor 718-418-8540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY N005412) |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2008-03-31 |