| NPI | 1952674442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOLLY MANVAR President 718-234-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: NY 142756) |
| Enumeration Date | 2012-02-15 |
| Last Update Date | 2012-02-15 |