| NPI | 1023330800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARNALI S HASAN CEO 718-291-2710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NY 255059) |
| Enumeration Date | 2010-02-22 |
| Last Update Date | 2014-06-04 |