| NPI | 1336682616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE DRAGON Owner 914-523-6670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: NY 296219) |
| Enumeration Date | 2016-11-18 |
| Last Update Date | 2016-11-18 |