| NPI | 1780846733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLENA TOKAR Office Manager 201-791-7760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NJ 25 MA06159800) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 182511-1) |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2011-03-11 |