| NPI | 1013293588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHANN C KUO President 718-260-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: NY 241732) |
| Enumeration Date | 2011-10-28 |
| Last Update Date | 2015-04-08 |