| NPI | 1396920401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAMID MIAN Owner 845-471-8272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 201151) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 2442261) |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2008-01-08 |