| NPI | 1972136208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MARGOLIN Program Director 718-918-3864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2020-02-14 |
| Last Update Date | 2020-02-14 |