| NPI | 1063264174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCAS ADDO CEO 914-689-4678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2024-04-02 |
| Last Update Date | 2024-04-02 |