NYCCC

BRONX, NY
NPI1245612803
Entity TypeOrganization
Authorized ContactBRENDA GRIER
Administrative Secretary 1
718-239-3745
Organization Subpart ?No
Primary Taxonomy305R00000X Preferred Provider Organization
(Licence: NY  2084P0804X)
Enumeration Date2015-06-19
Last Update Date2015-06-19