| NPI | 1093742900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARISA VEKSMAN Medical Director 718-891-8822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 223381) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2020-08-22 |