| NPI | 1023846763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENBAO WANG CEO 646-596-2271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 251V00000X Voluntary or Charitable | |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2024-07-24 |
| Last Update Date | 2024-07-24 |