| NPI | 1023187044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER J CIMMINO President 718-441-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: NY 134874) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2010-10-22 |