| NPI | 1083805741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HECTOR BIENVENIDO FLORIMON DE LA ROSA Medical Director 718-898-1386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2021-04-07 |