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 |