| NPI | 1861812190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL N ESSIG Owner 212-779-8576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: NY 129647) |
| Enumeration Date | 2014-04-25 |
| Last Update Date | 2014-04-25 |