| NPI | 1154332344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEESHA N MOHAMMED-LOPEZ Operation Manager 516-825-1101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 131901) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2025-07-02 |