| NPI | 1003453010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAITLIN DUIGNAN Manager Of Human Health Services 718-220-7109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Enumeration Date | 2019-12-09 |
| Last Update Date | 2019-12-09 |