| NPI | 1881990596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYNDA CANO Executive Secretary 201-443-4080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NJ 25MA02830300) |
| Enumeration Date | 2011-01-28 |
| Last Update Date | 2011-01-28 |