| NPI | 1497829766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE F SEECOOMAR President 212-217-9961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: NY 195225) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2008-02-04 |