| NPI | 1508257734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONARD BIELORY Member 973-912-9817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NY 018274) |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2015-02-10 |