NPI | 1811259641 |
---|---|
Entity Type | Organization |
Authorized Contact | SEUNG C ROH President 718-353-3988 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: NY X011994) |
Enumeration Date | 2012-06-07 |
Last Update Date | 2015-02-24 |