| NPI | 1689677197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY L. WONG Secretary/Treasurer 347-524-4033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 226570) |
| Enumeration Date | 2005-05-30 |
| Last Update Date | 2020-08-22 |