| NPI | 1902294234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANABELL ROBAYNA Owner 917-860-1766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME14277) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME 14277) |
| 174400000X Specialist | |
| 174400000X Specialist (Licence: FL MA43453) | |
| Enumeration Date | 2015-01-09 |
| Last Update Date | 2015-01-09 |