| NPI | 1336400837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH PIERRE Officer 718-525-5505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: NY 189714) |
| Enumeration Date | 2012-06-01 |
| Last Update Date | 2012-06-01 |