| NPI | 1013677053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS M BARRERA CEO 347-460-1239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2021-12-17 |
| Last Update Date | 2021-12-17 |