| NPI | 1023064136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARITZA GIRALDO Billing Director 347-396-6234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center Community Health (Licence: NY 7002112R1351) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2016-07-21 |