| NPI | 1144460890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD M IQBAL Owner 315-638-0979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NY 239357-1) |
| Enumeration Date | 2009-02-20 |
| Last Update Date | 2009-11-23 |