| NPI | 1063637361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD SANCIO Practice Coordinator 718-725-7031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 147143) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2008-05-16 |