| NPI | 1013349497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER CHIU Chief Executive Officer 267-521-2766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2020-10-08 |