| NPI | 1053789727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEWETT CHIU Chief Executive Officer 646-543-3015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NY 2014030896) |
| Additional Taxonomies | 261Q00000X (Licence: NY 72080505) |
| 261QC1500X Clinic/Center, Community Health (Licence: NY 22679314) | |
| 261QC1500X Clinic/Center, Community Health (Licence: VA 1124027750) | |
| 261QC1500X Clinic/Center, Community Health (Licence: NY 22663193) | |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2015-09-11 |