| NPI | 1518419498 |
|---|---|
| Doing Business As | GREAT NECK INSURANCE |
| Entity Type | Organization |
| Authorized Contact | MATTHEW ELLIS JOHNSON President 757-481-6252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251X00000X (Licence: VA 942091) |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2016-10-26 |