| NPI | 1861939415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER IVANOV Authorized Official 718-382-6650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NY 205206) |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2017-01-20 |