| NPI | 1053178822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUISA PEREZ Owner/Medical Director 917-692-3143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2024-02-28 |
| Last Update Date | 2024-02-29 |