| NPI | 1164665469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHALIE R. DE OLIVEIRA Biller 718-824-1560 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 133418) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 254436) |
| Enumeration Date | 2009-04-16 |
| Last Update Date | 2013-03-01 |