| NPI | 1992113237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERBERT M WYMAN Sole Proprietor 212-362-6792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: NY 92610) |
| Enumeration Date | 2014-07-30 |
| Last Update Date | 2014-07-30 |