| NPI | 1689109035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH MINTU CHERIAN Md 516-500-1031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 405300000X Prevention Professional (Licence: NY 2525361) |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2017-04-24 |