| NPI | 1861806663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY ARTEL President 855-200-8262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 196728-1) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 170764-1) |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2016-04-07 |