| NPI | 1760722151 |
|---|---|
| Doing Business As | NONE |
| Entity Type | Organization |
| Authorized Contact | NISAN ALLAYEV Employer 718-544-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 20057737) |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2013-02-21 |