| NPI | 1306255880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA AULOV Officer 347-551-1665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0100X Clinic/Center, Occupational Medicine (Licence: NY 0173781) |
| Enumeration Date | 2014-08-08 |
| Last Update Date | 2014-08-08 |