| NPI | 1619627114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOFIYA VOLFLENOK Program Administrator 718-240-6205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2022-03-27 |
| Last Update Date | 2022-03-27 |