| NPI | 1356639827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIENNE LAWRENCE Program Coordinator 718-830-4352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2011-07-18 |