| NPI | 1841621786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK ANIM ADDO President 917-279-6924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: NY 010367) |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2013-12-03 |