| NPI | 1821499914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUNG Y CHAE President 732-607-9090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: NY 181429-1) |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2014-09-09 |