| NPI | 1023309705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUGUST A. FEOLA President 718-531-5111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 164613) |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2011-05-17 |