| NPI | 1053564054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANTE TROVATO President 718-441-4222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NY 205724) |
| Enumeration Date | 2008-11-04 |
| Last Update Date | 2008-11-04 |