| NPI | 1033512843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN MENDEZ Fnp C 646-207-9934 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY F338574-1) |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2014-10-07 |