| NPI | 1285813220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLA DEKHTYA DEKHTYAR President 718-937-5400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: NY 049030) |
| Enumeration Date | 2007-10-26 |
| Last Update Date | 2007-10-26 |