| NPI | 1306009428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARNOLD L ZOMICK Owner 718-499-6761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: NY 31204) |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2008-07-09 |