| NPI | 1073669479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA SEMINARA Owner 718-967-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: NY 234387) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NY 179723) |
| 208D00000X General Practice (Licence: NY 22415) | |
| 208D00000X General Practice (Licence: NY 171607) | |
| 208D00000X General Practice (Licence: NY 234484) | |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2010-05-27 |