| NPI | 1033270640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HILDRED MACHUCA Pediatrician 718-991-0605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: NY 227890) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-08-22 |