| NPI | 1053808543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YONGZENG DING Attending 516-659-7366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 265413) |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2018-04-19 |