| NPI | 1821793787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERTHA LEANDRY Program Coordinator 718-920-7967 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2023-03-31 |
| Last Update Date | 2023-03-31 |