| NPI | 1043455686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARISA LITVINOVA President 646-202-2968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 219127) |
| Enumeration Date | 2008-12-11 |
| Last Update Date | 2023-09-25 |