| NPI | 1679944581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY T BASSETT Commissioner 347-396-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: NY 146320) |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2015-10-19 |