| NPI | 1982039145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOKO KUO Owner 917-650-3883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: NY 004069) |
| Enumeration Date | 2013-09-06 |
| Last Update Date | 2013-09-06 |