| NPI | 1023297694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELDAR KADYMOFF Medical Director 718-332-8002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 7001106R) |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2007-10-31 |