NPI | 1861764540 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLES M. PICCINNINI Administrative Director 732-598-3310 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: NY 152868-1) |
Enumeration Date | 2012-01-27 |
Last Update Date | 2012-01-27 |