| NPI | 1063839660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES W LAWRENCE Doctor 718-680-0316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: NY 213978) |
| Enumeration Date | 2014-03-21 |
| Last Update Date | 2014-07-28 |