| NPI | 1376078204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAKISHA THOMPSON Program Coordinator 212-305-7626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2017-05-01 |