| NPI | 1033551411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA KRANTZ Pharmacist 516-644-7979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: NC 23599) |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2013-07-25 |