| NPI | 1316147531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSEMARY BOERSCHIG Office Manager 718-631-8899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 169492) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 1892771) |
| 174400000X Specialist (Licence: NY 191884) | |
| 174400000X Specialist (Licence: NY 140561) | |
| 174400000X Specialist (Licence: NY 1829331) | |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2007-07-25 |