| NPI | 1093531691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR HORMAZA VP Of Revenue And Finance Operation 929-837-1601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2024-11-27 |
| Last Update Date | 2024-11-27 |