NPI | 1013976976 |
---|---|
Entity Type | Organization |
Authorized Contact | DARYL B EVERETT Controller 212-361-1678 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 01399760) |
Enumeration Date | 2006-03-20 |
Last Update Date | 2020-08-22 |