| NPI | 1073320537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARINA ROZENBERG Owner 645-645-7143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2024-12-17 |
| Last Update Date | 2024-12-17 |