| NPI | 1982083192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VLADIMIR PODRABINOK President 718-435-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: NY B02756) |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2015-05-20 |