| NPI | 1871790071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVAN J FERNANDEZ-MADRID Sole Proprietor 212-254-0946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 217407) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2011-03-07 |