| NPI | 1538599550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YONGSHUN BEI President 516-655-9889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: NJ 25MZ00080500) |
| Additional Taxonomies | 302F00000X Exclusive Provider Organization (Licence: NY 002289) |
| Enumeration Date | 2013-11-13 |
| Last Update Date | 2013-11-13 |