| NPI | 1083069439 |
|---|---|
| Former Legal Business Name | BENY J. PRIMM MEDICAL GROUP, LLC |
| Entity Type | Organization |
| Authorized Contact | CHARLES Y JIN Member 646-898-2037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NY 101838) |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2018-11-19 |