| NPI | 1083339378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM CHUNG CEO 917-294-6240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Additional Taxonomies | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2022-10-10 |
| Last Update Date | 2023-01-26 |