| NPI | 1306287123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENRICO FAZZINI President 212-983-1370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: NY 157518) |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2013-07-09 |