| NPI | 1801217526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDEEP SIRSI Assistant Program Director 718-250-6923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2013-12-23 |
| Last Update Date | 2013-12-23 |