| NPI | 1316931371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CELESTINO EDDIE SEPULVEDA Owner/President 845-471-5530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 192489-1) |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2008-11-11 |