| NPI | 1821683061 |
|---|---|
| Doing Business As | PRIMEIV |
| Entity Type | Organization |
| Authorized Contact | OLGA TARLTON President 718-864-5728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy |
| Enumeration Date | 2021-03-09 |
| Last Update Date | 2021-03-09 |