| NPI | 1487824843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM E. ELLIS Executive Director 917-501-8029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 251X00000X Supports Brokerage |
| Enumeration Date | 2008-03-01 |
| Last Update Date | 2009-09-24 |