| NPI | 1093988222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROXANA M Office Manager 718-380-0011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NY 203378) |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2008-04-09 |