NPI | 1992082515 |
---|---|
Entity Type | Organization |
Authorized Contact | DONNETTE D BARNES President 914-474-8720 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: NY 546938) |
Enumeration Date | 2011-11-10 |
Last Update Date | 2011-11-10 |