| NPI | 1548716251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARRY ARISTIDOU President 718-278-8183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: NY 038867) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |