| NPI | 1346553799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALVIN KATZ Owner 212-879-3292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: NJ MA21932) |
| Additional Taxonomies | 302F00000X Exclusive Provider Organization (Licence: NY 092277) |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2010-07-14 |