| NPI | 1255654968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AL NIAZI President 718-528-0505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: NY 00026591) |
| Enumeration Date | 2010-03-09 |
| Last Update Date | 2010-03-09 |